Provider First Line Business Practice Location Address:
4900 MUELLER BLVD
Provider Second Line Business Practice Location Address:
DELL CHILDREN'S MEDICAL CENTER OF CENTRAL TEXAS
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78723-3079
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
201-805-7149
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/10/2011