Provider First Line Business Practice Location Address:
501 N ED CAREY DR
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-7982
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-423-6333
Provider Business Practice Location Address Fax Number:
956-423-6331
Provider Enumeration Date:
01/12/2007