Provider First Line Business Practice Location Address:
64 S PRICE RD
Provider Second Line Business Practice Location Address:
SUITE B
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78521-2459
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-548-2242
Provider Business Practice Location Address Fax Number:
956-548-2262
Provider Enumeration Date:
03/15/2011