Lubbock Advanced Physical Medicine PLLC
Physical Medicine & Rehabilitation in Lubbock, TX. Organization (NPI-2).
NPI number1750715462
StatusActive
Last updated in NPPESMar 16, 2017
Details
- NPI
- 1750715462
- Entity type
- Organization (NPI-2)
- Legal business name
- Lubbock Advanced Physical Medicine PLLC
- Organization subpart
- No
- Enumeration date
- Aug 29, 2013
- Last updated
- Mar 16, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | – | – | Yes |
Practice location
2230 Indiana AveSuite 2
Lubbock, TX 79410-2192
Phone 806-791-3399 · Fax 806-791-3934
Mailing address
2230 Indiana AveSuite 2
Lubbock, TX 79410-2192
Phone 806-791-3399 · Fax 806-791-3934
Authorized official
Clayton K Roberts
Owner
8067913399
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