Provider First Line Business Practice Location Address:
NORTH TEXAS MEDICAL CENTER
Provider Second Line Business Practice Location Address:
1900 HOSPITAL BLVD
Provider Business Practice Location Address City Name:
GAINESVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
96240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
940-665-1751
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2006