Provider First Line Business Practice Location Address:
387 INTERSTATE SERVICE RD
Provider Second Line Business Practice Location Address:
PECOS COUNTY MEMORIAL HOSPITAL
Provider Business Practice Location Address City Name:
FORT STOCKTON
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79735-2969
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
432-336-2004
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
03/05/2013