Provider First Line Business Practice Location Address:
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
5005 N. PIEDRAS STREET, ATTN: CREDENTIALS OFFICE
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79920
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-569-1233
Provider Business Practice Location Address Fax Number:
915-569-2248
Provider Enumeration Date:
02/14/2006