Provider First Line Business Practice Location Address:
1620 E 8TH ST
Provider Second Line Business Practice Location Address:
SUITE 1
Provider Business Practice Location Address City Name:
WESLACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78596-5882
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-231-5541
Provider Business Practice Location Address Fax Number:
512-524-2251
Provider Enumeration Date:
03/28/2013