Provider First Line Business Practice Location Address:
221 N ESPLANADE ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARNES CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78118-2919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-618-9017
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/03/2012