Provider First Line Business Practice Location Address:
18511 HIGHLANDER MEDICS ST FL 3
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79906-5327
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-569-1755
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
02/21/2020