Provider First Line Business Practice Location Address:
116 ALABAMA ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DALHART
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79022-5334
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-244-2266
Provider Business Practice Location Address Fax Number:
806-244-7266
Provider Enumeration Date:
07/14/2008