Provider First Line Business Practice Location Address:
1901 SOUTH FIRST STREET
Provider Second Line Business Practice Location Address:
CENTRAL TEXAS VETERANS HEALTH CARE SYSTEM (119T)
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76504
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-743-0887
Provider Business Practice Location Address Fax Number:
254-743-0020
Provider Enumeration Date:
07/31/2006