Provider First Line Business Practice Location Address:
DRC, CARL R DARNALL ARMY MEDICAL CENT
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
FORT CAVAZOS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
760-643-2034
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/29/2005