Provider First Line Business Practice Location Address:
SCOTT AND WHITE HOSPITAL
Provider Second Line Business Practice Location Address:
2401 SOUTH 31ST STREET
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-724-6393
Provider Business Practice Location Address Fax Number:
254-724-6884
Provider Enumeration Date:
04/06/2010