Provider First Line Business Practice Location Address:
302 N. BUTLER
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KARNES CITY
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78118-2801
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-780-3600
Provider Business Practice Location Address Fax Number:
830-780-3730
Provider Enumeration Date:
02/12/2007