Provider First Line Business Practice Location Address:
520 E 6TH ST
Provider Second Line Business Practice Location Address:
DEPARTMENT OF RADIOLOGY
Provider Business Practice Location Address City Name:
ODESSA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79761-4527
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-582-8290
Provider Business Practice Location Address Fax Number:
432-582-8931
Provider Enumeration Date:
01/06/2006