Provider First Line Business Practice Location Address:
7232 GREENVILLE AVE STE 109
Provider Second Line Business Practice Location Address:
HYPERBARIC MEDICINE UNIT. IEEM
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75231-5129
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-345-4613
Provider Business Practice Location Address Fax Number:
214-345-4647
Provider Enumeration Date:
09/17/2014