Provider First Line Business Practice Location Address:
515 ADAMS AVE
Provider Second Line Business Practice Location Address:
DEPT OF ANESTHESIOLOGY
Provider Business Practice Location Address City Name:
ODESSA
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79761-4613
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
888-550-1904
Provider Business Practice Location Address Fax Number:
432-550-1000
Provider Enumeration Date:
10/25/2006