Provider First Line Business Practice Location Address:
5016 S US HIGHWAY 75
Provider Second Line Business Practice Location Address:
ATTN: TEXOMACARE HOSPITALIST PROGRAM
Provider Business Practice Location Address City Name:
DENISON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75020-4584
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-416-4378
Provider Business Practice Location Address Fax Number:
903-416-4980
Provider Enumeration Date:
05/24/2006