Provider First Line Business Practice Location Address:
5001 EL PASO DR PEDIATRIC RESIDENCY-TEXAS TECH UNIVERSI
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EL PAS0
Provider Business Practice Location Address State Name:
TX
Provider Business Practice Location Address Postal Code:
79905
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
915-215-4680
Provider Business Practice Location Address Fax Number:
915-545-6975
Provider Enumeration Date:
06/13/2024