Provider First Line Business Practice Location Address:
2121 PEASE ST
Provider Second Line Business Practice Location Address:
MEDICAL ARTS PAVILION, SUITE 314
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-216-7570
Provider Business Practice Location Address Fax Number:
956-216-7571
Provider Enumeration Date:
03/14/2008