Provider First Line Business Practice Location Address:
VA NORTH TEXAS HEALTHCARE SYSTEM, 1209 E. 9TH ST
Provider Second Line Business Practice Location Address:
ATTN: NHCU BLDG 29 PM&R 117
Provider Business Practice Location Address City Name:
BONHAM
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75418
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-583-6544
Provider Business Practice Location Address Fax Number:
903-583-6623
Provider Enumeration Date:
09/21/2006