Provider First Line Business Practice Location Address:
2001 INWOOD RD
Provider Second Line Business Practice Location Address:
WEST CAMPUS BUILDING 3
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-645-2800
Provider Business Practice Location Address Fax Number:
214-645-2828
Provider Enumeration Date:
06/18/2012