Provider First Line Business Practice Location Address:
UT SOUTHWESTERN MEDICAL CTR
Provider Second Line Business Practice Location Address:
5323 HARRY HINES BLVD
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-9063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-648-3405
Provider Business Practice Location Address Fax Number:
214-648-3220
Provider Enumeration Date:
12/19/2006