Provider First Line Business Practice Location Address:
1405 W. JEFFERSON
Provider Second Line Business Practice Location Address:
EMERGENCY DEPARTMENT
Provider Business Practice Location Address City Name:
WAXAHACHIE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75165
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
972-923-7070
Provider Business Practice Location Address Fax Number:
972-938-3318
Provider Enumeration Date:
07/23/2010