Provider First Line Business Practice Location Address:
CTVHCS
Provider Second Line Business Practice Location Address:
1901 VETERAN'S MEMORIAL DRIVE
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-743-2818
Provider Business Practice Location Address Fax Number:
254-743-0092
Provider Enumeration Date:
06/21/2006