Provider First Line Business Practice Location Address:
6720 BERTNER AVE. (CHI BAYLOR ST. LUKE'S MEDICAL CENTER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77030
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
713-798-4661
Provider Business Practice Location Address Fax Number:
713-798-5838
Provider Enumeration Date:
04/08/2015