Lubbock Psychiatry, Pllc. | |
5416 114th St, Suite 100 Lubbock TX 79424-5731 | |
(806) 785-1611 | |
Not Available |
Full Name | Lubbock Psychiatry, Pllc. |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 5416 114th St, Suite 100, Lubbock, Texas |
Authorized Official Name and Position | Bradley Nelson (BUSINESS MANAGER) |
Authorized Official Contact | 8065440446 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lubbock Psychiatry, Pllc. 5416 114th St Suite 100 Lubbock TX 79424-7690 Ph: (806) 544-0446 | Lubbock Psychiatry, Pllc. 5416 114th St, Suite 100 Lubbock TX 79424-5731 Ph: (806) 785-1611 |
NPI Number | 1952985285 |
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Provider Enumeration Date | 05/12/2021 |
Last Update Date | 01/25/2023 |
Certification Date | 09/23/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1952985285 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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