Provider First Line Business Practice Location Address:
98 W COUNTY ROAD 204
Provider Second Line Business Practice Location Address:
REEVES COUNTY DETENTION CENTER III - MEDICAL
Provider Business Practice Location Address City Name:
PECOS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79772-7208
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-447-2909
Provider Business Practice Location Address Fax Number:
432-447-2896
Provider Enumeration Date:
01/29/2007