Provider First Line Business Practice Location Address:
152 ZAMORA MEDICAL CIR STE 7
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAGLE PASS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78852-5919
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-912-9688
Provider Business Practice Location Address Fax Number:
210-231-0440
Provider Enumeration Date:
03/06/2013