Provider First Line Business Practice Location Address: 
2102 TREASURE HILLS BLVD.
    Provider Second Line Business Practice Location Address: 
DEPT. OF INTERNAL MEDICINE - VBMC
    Provider Business Practice Location Address City Name: 
HARLINGEN
    Provider Business Practice Location Address State Name: 
TX
    Provider Business Practice Location Address Postal Code: 
78550
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
956-296-1491
    Provider Business Practice Location Address Fax Number: 
956-387-4603
    Provider Enumeration Date: 
04/08/2020