Provider First Line Business Practice Location Address:
5950 SARATOGA BOULEVARD
Provider Second Line Business Practice Location Address:
CHRISTUS SPOHN HOSPITAL -SOUTH
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78414
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-658-5729
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/01/2008