Provider First Line Business Practice Location Address:
1021 E 10TH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALHART
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79022-4005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-244-0003
Provider Business Practice Location Address Fax Number:
806-288-6041
Provider Enumeration Date:
01/23/2025