Provider First Line Business Practice Location Address:
BLDG 2245 THOMAS MOORE HEALTH CLINIC
Provider Second Line Business Practice Location Address:
58TH STREET AND 761ST TANK BATTALION AVE
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-287-4943
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/28/2006