Provider First Line Business Practice Location Address:
58TH ST AND 761 AND TARK BN AVE
Provider Second Line Business Practice Location Address:
THOMAS MOORE HEALTH CLINIC
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-286-6756
Provider Business Practice Location Address Fax Number:
254-285-6193
Provider Enumeration Date:
06/15/2006