Provider First Line Business Practice Location Address:
FAMILY MEDICINE RESIDENCY CLINIC
Provider Second Line Business Practice Location Address:
590 MEDICAL CENTER ROAD
Provider Business Practice Location Address City Name:
FORT CAVAZOS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76513
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
542-888-8280
Provider Business Practice Location Address Fax Number:
254-286-7196
Provider Enumeration Date:
05/13/2008