Provider First Line Business Practice Location Address:
1317 E WASHINGTON AVE
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:
78550-5684
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-412-7244
Provider Business Practice Location Address Fax Number:
956-428-2180
Provider Enumeration Date:
04/05/2007