Provider First Line Business Practice Location Address:
8050 HWY 191
Provider Second Line Business Practice Location Address:
DEPARTMENT OF ENDOCRINOLOGY, SUITE 213
Provider Business Practice Location Address City Name:
ODESSA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79765
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-703-5379
Provider Business Practice Location Address Fax Number:
432-703-5955
Provider Enumeration Date:
11/28/2005