Provider First Line Business Mailing Address:
P.O. BOX 650859 DEPT. 710
Provider Second Line Business Mailing Address:
UTMB FACULTY GROUP PRACTICE
Provider Business Mailing Address City Name:
DALLAS
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
75265-0859
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
409-772-2222
Provider Business Mailing Address Fax Number: