Provider First Line Business Practice Location Address:
3601, 4TH ST-STOP #8103, TTUHSC PSYCHIATRY RESIDENCY
Provider Second Line Business Practice Location Address:
PROGRAM
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79430-8103
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-743-6744
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/14/2025