Provider First Line Business Practice Location Address:
518 S. CLOSNER BLVD.
Provider Second Line Business Practice Location Address:
518
Provider Business Practice Location Address City Name:
EDINBURG
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78539
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-287-4677
Provider Business Practice Location Address Fax Number:
956-287-4926
Provider Enumeration Date:
06/07/2011