Provider First Line Business Practice Location Address:
9202 ELAM RD
Provider Second Line Business Practice Location Address:
SOUTHEAST DALLAS HEALTH CENTER
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75217-4151
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-266-1600
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/02/2006