Provider First Line Business Practice Location Address:
411 E HIGHWAY 123
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARNES CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78118-3015
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-649-6699
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/15/2014