Geriatric Telemedicine And Oncall Consultants LLC.
Nurse Practitioner in Lubbock, TX. Organization (NPI-2).
NPI number1164067393
StatusActive
Last updated in NPPESSep 24, 2020
Details
- NPI
- 1164067393
- Entity type
- Organization (NPI-2)
- Legal business name
- Geriatric Telemedicine And Oncall Consultants LLC.
- Organization subpart
- No
- Enumeration date
- Nov 12, 2019
- Certification date
- Sep 24, 2020
- Last updated
- Sep 24, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | – | – | Yes |
Other names
- Geriatric Telemedicine And Oncall Consultants (Former Legal Business Name)
Practice location
222 Genoa AveLubbock, TX 79416-1708
Phone 806-441-6108
Mailing address
222 Genoa AveLubbock, TX 79416-1708
Phone 806-441-6108
Authorized official
Patricia Durham
Adminstrator
8064416108
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