Provider First Line Business Practice Location Address:
EAST BLISS CLINIC
Provider Second Line Business Practice Location Address:
21227 TORCH ST., BIGGS FIELD
Provider Business Practice Location Address City Name:
FT.BLISS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-742-9975
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/02/2006