Provider First Line Business Practice Location Address:
7121 S. PADRE ISLAND DR STE 300
Provider Second Line Business Practice Location Address:
THOMAS SPAN CLINIC
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78912
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-696-6200
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/11/2006