Provider First Line Business Practice Location Address:
5021 CROSSROADS DR
Provider Second Line Business Practice Location Address:
UNIVERSITY MEDICAL CENTER CROSSROADS
Provider Business Practice Location Address City Name:
EL PASO
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79932-1635
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-521-7050
Provider Business Practice Location Address Fax Number:
915-584-2851
Provider Enumeration Date:
05/25/2011