Provider First Line Business Practice Location Address:
1807 WATER STREET
Provider Second Line Business Practice Location Address:
RAPHAEL COMMUNITY FREE CLINIC
Provider Business Practice Location Address City Name:
KERRVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78028
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-895-4201
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/25/2009