Provider First Line Business Practice Location Address:
2218 BARBEE STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HOUSTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
832-498-1561
Provider Business Practice Location Address Fax Number:
713-521-0149
Provider Enumeration Date:
06/17/2011