Provider First Line Business Practice Location Address:
HIDALGO MEDICAL SERVICES
Provider Second Line Business Practice Location Address:
530 DEMOSS STREET
Provider Business Practice Location Address City Name:
LORDSBURG
Provider Business Practice Location Address State Name:
NM
Provider Business Practice Location Address Postal Code:
88045-2632
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
505-542-8384
Provider Business Practice Location Address Fax Number:
505-542-8387
Provider Enumeration Date:
10/07/2005