Provider First Line Business Practice Location Address: 
5601 HEALTH CENTER DR
    Provider Second Line Business Practice Location Address: 
    Provider Business Practice Location Address City Name: 
ABILENE
    Provider Business Practice Location Address State Name: 
TX
    Provider Business Practice Location Address Postal Code: 
79606-1225
    Provider Business Practice Location Address Country Code: 
US
    Provider Business Practice Location Address Telephone Number: 
325-675-6466
    Provider Business Practice Location Address Fax Number: 
325-692-6030
    Provider Enumeration Date: 
01/15/2018