Provider First Line Business Practice Location Address:
JFCS, 12500 N.W. MILITARY HWY.
Provider Second Line Business Practice Location Address:
#250
Provider Business Practice Location Address City Name:
SAN ANTONIO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78231
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
210-302-6920
Provider Business Practice Location Address Fax Number:
210-302-6952
Provider Enumeration Date:
08/25/2006