Provider First Line Business Practice Location Address:
7125 NEW SANGER RD
Provider Second Line Business Practice Location Address:
SUITE B WACO LUNG ASSOCIATES
Provider Business Practice Location Address City Name:
WACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76712
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-741-1688
Provider Business Practice Location Address Fax Number:
254-741-9767
Provider Enumeration Date:
09/23/2005