Provider First Line Business Practice Location Address:
302 UNIVERISTY BLVD.
Provider Second Line Business Practice Location Address:
SCOTT & WHITE HEALTHCARE
Provider Business Practice Location Address City Name:
ROUND ROCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78665-1032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-509-5365
Provider Business Practice Location Address Fax Number:
512-509-5424
Provider Enumeration Date:
05/24/2007