Provider First Line Business Practice Location Address:
UTSWMC DEPARTMENT OF OTOLARYNGOLOGY
Provider Second Line Business Practice Location Address:
5323 HARRY HINES BLVD
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75390-9035
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
989-400-2952
Provider Business Practice Location Address Fax Number:
214-648-6733
Provider Enumeration Date:
04/28/2011