Provider First Line Business Practice Location Address:
BUILDING 36038, WRATTEN DR.
Provider Second Line Business Practice Location Address:
CRDAMC HEALTH CARE SYSTEM
Provider Business Practice Location Address City Name:
FORT HOOD
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76544-4901
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-286-7159
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/12/2009