Provider First Line Business Practice Location Address:
2408 HIGHWAY 83 NORTH
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ZAPATA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-324-2041
Provider Business Practice Location Address Fax Number:
956-765-5084
Provider Enumeration Date:
07/03/2008