Provider First Line Business Practice Location Address:
1300 S BORDER AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESLACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78596-7441
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-477-1482
Provider Business Practice Location Address Fax Number:
956-394-1118
Provider Enumeration Date:
09/30/2026