Provider First Line Business Practice Location Address:
1400 N I-35, SUITE C2.230
Provider Second Line Business Practice Location Address:
UT SOUTHWESTERN AUSTIN EMERGENCY MEDICINE RESIDENCY PR
Provider Business Practice Location Address City Name:
AUSTIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78701
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
512-324-8221
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/21/2013