Provider First Line Business Practice Location Address:
ST. DAVID'S NORTH AUSTIN MEDICAL CENTER
Provider Second Line Business Practice Location Address:
12221 N MOPAC EXPY
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78758
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-901-1000
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/10/2006