Provider First Line Business Practice Location Address:
1205 N ED CAREY DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HARLINGEN
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78550-9204
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-423-2100
Provider Business Practice Location Address Fax Number:
956-423-0180
Provider Enumeration Date:
06/29/2006