Provider First Line Business Practice Location Address:
5323 HARRY HINES BLVD DEPT OF ANESTHESIOLOGY AND
Provider Second Line Business Practice Location Address:
PAIN MANAGEMENT
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-9068
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-590-8000
Provider Business Practice Location Address Fax Number:
214-648-5461
Provider Enumeration Date:
10/24/2023