Provider First Line Business Practice Location Address:
12201 RENFERT WAY STE 240
Provider Second Line Business Practice Location Address:
CAPITAL SURGEONS GROUP, PLLC
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78758-5337
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-498-4850
Provider Business Practice Location Address Fax Number:
512-491-8387
Provider Enumeration Date:
09/20/2006