Provider First Line Business Practice Location Address:
2401 N ED CAREY DR STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-8207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-230-1605
Provider Business Practice Location Address Fax Number:
956-368-5030
Provider Enumeration Date:
05/18/2011