Provider First Line Business Practice Location Address:
1720 E HARRISON AVE
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-7461
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-230-1527
Provider Business Practice Location Address Fax Number:
877-520-1692
Provider Enumeration Date:
04/23/2008