Provider First Line Business Practice Location Address:
11130 CHRISTUS HILLS
Provider Second Line Business Practice Location Address:
MEDICAL PLAZA 3, 3RD FLOOR
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78251-3585
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-703-9001
Provider Business Practice Location Address Fax Number:
210-703-9155
Provider Enumeration Date:
05/31/2011