Provider First Line Business Practice Location Address:
6515 BRIAR LAKE TRL
Provider Second Line Business Practice Location Address:
AMERICAN EAGLE PHYSICIAN HOUSE CALL
Provider Business Practice Location Address City Name:
SACHSE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75048-5526
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
469-544-3556
Provider Business Practice Location Address Fax Number:
972-212-4549
Provider Enumeration Date:
12/27/2007