Provider First Line Business Practice Location Address:
ONE MEDICAL PLAZA
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PAMPA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79065-2814
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-665-3721
Provider Business Practice Location Address Fax Number:
806-665-2361
Provider Enumeration Date:
08/31/2011