Provider First Line Business Practice Location Address:
1001 JAMES ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
WESLACO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78596-0008
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-647-8600
Provider Business Practice Location Address Fax Number:
956-969-9564
Provider Enumeration Date:
12/27/2007