Provider First Line Business Practice Location Address:
REDA BLAND EVANS AT O.J. BAKER STREET
Provider Second Line Business Practice Location Address:
OWEN FRANKLIN HEALTH CTR, 2ND FL., PRAIRIE VIEW A&M
Provider Business Practice Location Address City Name:
PRAIRIE VIEW
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77446
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-857-2726
Provider Business Practice Location Address Fax Number:
936-857-2725
Provider Enumeration Date:
11/24/2006