Provider First Line Business Practice Location Address:
WILLIAM BEAUMONT ARMY MEDICAL CENTER
Provider Second Line Business Practice Location Address:
5005 NORTH PIEDRAS STREET ATTN: GME 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:
915-742-2597
Provider Business Practice Location Address Fax Number:
915-742-6668
Provider Enumeration Date:
06/11/2018