Provider First Line Business Practice Location Address:
8210 FLOYD CURL DRIVE, MSC 8103
Provider Second Line Business Practice Location Address:
UT HEALTH SCIENCE CENTER AT SAN ANTONIO
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78229
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-450-3273
Provider Business Practice Location Address Fax Number:
210-450-2223
Provider Enumeration Date:
07/19/2015