Provider First Line Business Practice Location Address:
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTRE - PERMIAN
Provider Second Line Business Practice Location Address:
701 W 5TH STREET
Provider Business Practice Location Address City Name:
ODESSA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79763
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-703-5089
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/05/2024