Provider First Line Business Practice Location Address:
6250 ANTILLEY RD
Provider Second Line Business Practice Location Address:
ABILENE REGIONAL MEDICAL CENTER
Provider Business Practice Location Address City Name:
ABILENE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79606-5742
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
325-428-2807
Provider Business Practice Location Address Fax Number:
325-428-2819
Provider Enumeration Date:
05/16/2007