Provider First Line Business Practice Location Address:
7239 E US HIGHWAY 83
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIO GRANDE CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78582-7239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-370-7003
Provider Business Practice Location Address Fax Number:
956-741-0948
Provider Enumeration Date:
05/07/2026