Provider First Line Business Practice Location Address:
605 S CONROE MEDICAL DR
Provider Second Line Business Practice Location Address:
LONE STAR FAMILY HEALTH CENTER
Provider Business Practice Location Address City Name:
CONROE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
77304-4722
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
936-523-5292
Provider Business Practice Location Address Fax Number:
936-521-8450
Provider Enumeration Date:
05/31/2011