Provider First Line Business Practice Location Address:
307 N GONZALES ST
Provider Second Line Business Practice Location Address:
JUVENILE PROBATION DEPT.
Provider Business Practice Location Address City Name:
CUERO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77954-2948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-652-8470
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/01/2007