Provider First Line Business Practice Location Address:
1625 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
C/O EMERGENCY DEPT.
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79902-5005
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-747-2660
Provider Business Practice Location Address Fax Number:
915-747-2880
Provider Enumeration Date:
07/07/2005