Provider First Line Business Practice Location Address:
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79918
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
APO
Provider Business Practice Location Address State Name:
AA
Provider Business Practice Location Address Postal Code:
79918
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-742-2121
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/14/2023