Provider First Line Business Practice Location Address:
2601 THORNTON LN
Provider Second Line Business Practice Location Address:
ATTN: REBECCA SMITH, DEPT OF PODIATRY
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76502-1808
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-266-0209
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/19/2011