Provider First Line Business Practice Location Address:
BLDG 94043 NORTH CLARK ROAD
Provider Second Line Business Practice Location Address:
RUSSELL COLLIER HEALTH CARE CLINIC
Provider Business Practice Location Address City Name:
FT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-553-3014
Provider Business Practice Location Address Fax Number:
254-553-3119
Provider Enumeration Date:
10/17/2006