Provider First Line Business Practice Location Address:
ONE ST. MARK'S PLACE
Provider Second Line Business Practice Location Address:
ST. MARK'S HOSPITAL
Provider Business Practice Location Address City Name:
LA GRANGE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78945-1250
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
979-242-2333
Provider Business Practice Location Address Fax Number:
979-242-5171
Provider Enumeration Date:
04/06/2006