Provider First Line Business Practice Location Address:
801 W. AVE. D
Provider Second Line Business Practice Location Address:
FIRST BAPTIST CHURCH
Provider Business Practice Location Address City Name:
GARLAND
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75040-7097
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-276-7194
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
11/21/2006