Provider First Line Business Practice Location Address:
5788 ECKHERT RD
Provider Second Line Business Practice Location Address:
FRANK M. TEJEDA VA OUTPATIENT CLINIC, C&P DEPARTMENT
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78240-3900
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-285-4096
Provider Business Practice Location Address Fax Number:
830-896-3310
Provider Enumeration Date:
07/02/2006