Provider First Line Business Practice Location Address:
7910 FRANKFORD RD
Provider Second Line Business Practice Location Address:
ATTN: EXTENDED CARE ADMINISTRATOR
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75252-6865
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-232-8005
Provider Business Practice Location Address Fax Number:
410-204-7237
Provider Enumeration Date:
05/10/2012