Provider First Line Business Practice Location Address:
600 E 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DUMAS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79029-3216
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-935-2020
Provider Business Practice Location Address Fax Number:
806-934-9908
Provider Enumeration Date:
06/04/2008