Provider First Line Business Practice Location Address:
1901 SOUTH 1ST ST
Provider Second Line Business Practice Location Address:
VA CENTRAL TEXAS VETERANS HEALTH CARE HOSPITAL
Provider Business Practice Location Address City Name:
TEMPLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
76504-5779
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
254-743-0676
Provider Business Practice Location Address Fax Number:
254-743-0020
Provider Enumeration Date:
08/16/2006