Provider First Line Business Practice Location Address:
2301 N ED CAREY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-8277
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-428-2214
Provider Business Practice Location Address Fax Number:
956-428-4599
Provider Enumeration Date:
09/27/2006