Provider First Line Business Practice Location Address:
COVENANT CHILDREN'S HOSPITAL
Provider Second Line Business Practice Location Address:
4000 24TH STREET
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79410
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-725-6241
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/19/2011