Provider First Line Business Practice Location Address:
500 PAREDES LINE RD
Provider Second Line Business Practice Location Address:
#3
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78521-2583
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-541-2162
Provider Business Practice Location Address Fax Number:
956-541-8043
Provider Enumeration Date:
12/28/2006