Provider First Line Business Practice Location Address:
152 ZAMORA MEDICAL CIR STE 5
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAGLE PASS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78852-5919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-757-4000
Provider Business Practice Location Address Fax Number:
830-757-4206
Provider Enumeration Date:
02/28/2009