Provider First Line Business Practice Location Address:
5509 ATTWATER AVE
Provider Second Line Business Practice Location Address:
CAROLE YOUNG MEDICAL FACILITY
Provider Business Practice Location Address City Name:
DICKINSON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77539-4157
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
409-948-0001
Provider Business Practice Location Address Fax Number:
409-945-3758
Provider Enumeration Date:
08/15/2014