Provider First Line Business Practice Location Address:
U S. HWY 83 @ 6TH
Provider Second Line Business Practice Location Address:
#101
Provider Business Practice Location Address City Name:
ZAPATA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78076
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-765-6033
Provider Business Practice Location Address Fax Number:
956-765-9676
Provider Enumeration Date:
10/03/2006