Provider First Line Business Practice Location Address:
2 MEDICAL CENTER BLVD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
LUFKIN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75904-3173
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-634-8434
Provider Business Practice Location Address Fax Number:
936-639-2581
Provider Enumeration Date:
10/23/2006