Provider First Line Business Practice Location Address:
UTSW OTOLARYNGOLOGY HEAD & NECK SURGERY
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:
75390-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-645-8898
Provider Business Practice Location Address Fax Number:
214-645-8894
Provider Enumeration Date:
05/17/2010