Provider First Line Business Practice Location Address:
1538 COUNTY ROAD 345
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARNES CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78118-5618
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-569-5755
Provider Business Practice Location Address Fax Number:
830-583-3179
Provider Enumeration Date:
05/18/2006