Provider First Line Business Practice Location Address:
1485 FM 1960 BYPASS RD E
Provider Second Line Business Practice Location Address:
SUITE 100 FAMILY PRACTICE DOCTORS P.A.
Provider Business Practice Location Address City Name:
HUMBLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77338-3909
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
281-570-2606
Provider Business Practice Location Address Fax Number:
208-570-2613
Provider Enumeration Date:
02/05/2009