Provider First Line Business Practice Location Address:
TEXAS TECH UNIVERSITY HEALTH SCIENCE CTR
Provider Second Line Business Practice Location Address:
3601 4TH STREET STOP 8340
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79430-8340
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
806-743-2482
Provider Business Practice Location Address Fax Number:
806-743-3200
Provider Enumeration Date:
03/01/2006