Provider First Line Business Practice Location Address:
1605 S 31ST STREET CENTER FOR DIAGNOTIC MEDICINE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76508
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-215-0300
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/28/2018