Provider First Line Business Practice Location Address:
111 COMMERCE STREET
Provider Second Line Business Practice Location Address:
DALLAS COUNTY JAIL/LEW STERRETT JUSTICE CENTER NORTH TO
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
817-223-9482
Provider Business Practice Location Address Fax Number:
817-390-2981
Provider Enumeration Date:
06/19/2007