Provider First Line Business Practice Location Address:
100 W DEAN KEETON ST CAMPUS MAIL A3900 (UHS)
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-475-8252
Provider Business Practice Location Address Fax Number:
512-219-0733
Provider Enumeration Date:
12/20/2007