Provider First Line Business Practice Location Address:
1 TED HUNT BLVD
Provider Second Line Business Practice Location Address:
VALLEY BAPTIST MEDICAL CENTER EAST CAMPUS
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78521-7801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-698-4734
Provider Business Practice Location Address Fax Number:
956-698-4718
Provider Enumeration Date:
12/08/2006