Provider First Line Business Practice Location Address:
1805 E HARRISON AVE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-7310
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-423-3364
Provider Business Practice Location Address Fax Number:
956-428-0697
Provider Enumeration Date:
06/13/2006