Lubbock Interventional Nephrology Associates PA
Clinic/Center, Ambulatory Surgical in Lubbock, TX. Organization (NPI-2).
NPI number1669909404
StatusActive
Last updated in NPPESAug 25, 2023
Details
- NPI
- 1669909404
- Entity type
- Organization (NPI-2)
- Legal business name
- Lubbock Interventional Nephrology Associates PA
- Organization subpart
- Yes
- Enumeration date
- May 11, 2017
- Certification date
- Aug 25, 2023
- Last updated
- Aug 25, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QA1903X | Clinic/Center, Ambulatory Surgical | 14579 | TX | Yes |
Other names
- Lubbock Vascular Access (Doing Business As)
Practice location
1126 Slide RdSuite # 1
Lubbock, TX 79416-5462
Phone 806-792-2222
Mailing address
1126 Slide RdSuite # 1
Lubbock, TX 79416-5462
Phone 806-792-2222
Authorized official
Jennifer Lee Coleman
Facility Administration
8067938447
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