Provider First Line Business Practice Location Address:
TTUHSC DEPARTMENT OF FAMILY MEDICINE CLINIC
Provider Second Line Business Practice Location Address:
3601 4TH STREET MAIL STOP 9901
Provider Business Practice Location Address City Name:
LUBBOCK
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79430
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
617-373-0172
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/17/2023