Provider First Line Business Practice Location Address:
1100 COMMERCE STREET
Provider Second Line Business Practice Location Address:
USDA, SOUTHWEST REGIONAL OFFICE
Provider Business Practice Location Address City Name:
DALLAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75242-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
214-290-9889
Provider Business Practice Location Address Fax Number:
214-767-5522
Provider Enumeration Date:
05/24/2007