Provider First Line Business Practice Location Address:
CARL R. DARNALL ARMY MEDICAL CEN 590 MEDICAL CENTER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT CAVAZOS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-553-6252
Provider Business Practice Location Address Fax Number:
628-246-8260
Provider Enumeration Date:
08/19/2006