Provider First Line Business Practice Location Address:
137 ZAMORA MEDICAL CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAGLE PASS
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78852-5485
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
830-773-8474
Provider Business Practice Location Address Fax Number:
830-773-5683
Provider Enumeration Date:
07/16/2007