Please fill out the form below for more information regarding chronic pain treatment.

Name:
Address:
City:
State:
Zip:
Email:
Phone Number:
Where did you find out about us?	Newspaper Yellow Pages Internet Search Customer Referral Friend Radio or Television Magazine ( Hold the ctrl key to select more than one)
Comments:

 

South Texas
Innovative Medicine

6001B South Staples
Corpus Christi, Texas 78413

Phone: 361-992-9432
Fax: 361-992-3978