Provider First Line Business Practice Location Address:
214 E CALVERT AVE
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:
78118-3210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-780-2224
Provider Business Practice Location Address Fax Number:
830-780-2404
Provider Enumeration Date:
10/26/2006