Provider First Line Business Practice Location Address:
CRDAMC 36000 DARNALL LOOP
Provider Second Line Business Practice Location Address:
ANESTHESIA DEPT
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:
254-288-8570
Provider Business Practice Location Address Fax Number:
254-288-8975
Provider Enumeration Date:
08/31/2006