Provider First Line Business Practice Location Address:
606 N ED CAREY DR
Provider Second Line Business Practice Location Address:
STE A
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-7504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-440-0629
Provider Business Practice Location Address Fax Number:
956-444-0245
Provider Enumeration Date:
05/01/2008