Provider First Line Business Practice Location Address:
411 N. HWY 123
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARNES CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78118
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-780-2822
Provider Business Practice Location Address Fax Number:
830-780-3921
Provider Enumeration Date:
10/03/2006