Provider First Line Business Practice Location Address:
142 PAREDES LINE RD. STE E
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78521-3390
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-554-4836
Provider Business Practice Location Address Fax Number:
956-554-4841
Provider Enumeration Date:
05/24/2012