Provider First Line Business Mailing Address:
2401 SOUTH 31ST ST.
Provider Second Line Business Mailing Address:
MS-01-W256, DEPT OF RADIOLOGY
Provider Business Mailing Address City Name:
TEMPLE
Provider Business Mailing Address State Name:
TX
Provider Business Mailing Address Postal Code:
76508
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
210-291-9039
Provider Business Mailing Address Fax Number: