Provider First Line Business Practice Location Address:
1901 N ED CAREY DR
Provider Second Line Business Practice Location Address:
SUITE 200
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-8255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-425-9090
Provider Business Practice Location Address Fax Number:
956-425-9092
Provider Enumeration Date:
06/21/2006