Provider First Line Business Practice Location Address:
2241 N W MILITARY
Provider Second Line Business Practice Location Address:
MEDFIRST- CASTLE HILLS STE. 200
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78213-4927
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-541-8689
Provider Business Practice Location Address Fax Number:
210-541-8691
Provider Enumeration Date:
06/18/2010