Provider First Line Business Practice Location Address:
RUSK STATE HOSPITAL
Provider Second Line Business Practice Location Address:
1601 NORTH DICKINSON DRIVE
Provider Business Practice Location Address City Name:
RUSK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
75785
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
903-683-7436
Provider Business Practice Location Address Fax Number:
903-683-7302
Provider Enumeration Date:
08/02/2005