Provider First Line Business Practice Location Address:
721 W HARRISON AVE
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:
78550-6016
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-247-7000
Provider Business Practice Location Address Fax Number:
956-399-6331
Provider Enumeration Date:
06/26/2007