Provider First Line Business Practice Location Address:
1926 CHATTANOOGA PL, STE A
Provider Second Line Business Practice Location Address:
UPPER EXTREMITY SPECIALIST
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-352-4443
Provider Business Practice Location Address Fax Number:
214-357-2513
Provider Enumeration Date:
04/18/2007