Provider First Line Business Practice Location Address:
AUSTIN REGIONAL CLINIC
Provider Second Line Business Practice Location Address:
12779 TX- 29
Provider Business Practice Location Address City Name:
LIBERTY HILL
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78642
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-778-7003
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/27/2008