Provider First Line Business Practice Location Address:
551 EAKER STREET
Provider Second Line Business Practice Location Address:
FRONTERA HEALTHCARE NETWORK
Provider Business Practice Location Address City Name:
EDEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76837
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-869-8811
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
06/28/2016