Provider First Line Business Practice Location Address:
122 W 2ND ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALHART
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79022-2645
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-244-2524
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/03/2016