Provider First Line Business Practice Location Address:
3533 S. ALAMEDA ST. #303
Provider Second Line Business Practice Location Address:
JOSEPH SLOAN MEDICAL CENTER
Provider Business Practice Location Address City Name:
CORPUS CHRISTI
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78411-7841
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
361-853-3222
Provider Business Practice Location Address Fax Number:
361-853-7311
Provider Enumeration Date:
01/30/2015