Provider First Line Business Practice Location Address:
4000 HORIZON HILL BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-845-3537
Provider Business Practice Location Address Fax Number:
210-783-1640
Provider Enumeration Date:
07/26/2006