Provider First Line Business Practice Location Address:
704 PAREDES LINE RD STE A
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BROWNSVILLE
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
78521-2442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
956-831-7111
Provider Business Practice Location Address Fax Number:
956-831-7119
Provider Enumeration Date:
08/13/2006