Provider First Line Business Practice Location Address:
6844 U.S. HWY 69 NORTH
Provider Second Line Business Practice Location Address:
LUFKIN STATE SCHOOL
Provider Business Practice Location Address City Name:
POLLOK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-853-8249
Provider Business Practice Location Address Fax Number:
936-853-8220
Provider Enumeration Date:
10/17/2006