Organization · NPI-2

10611 Medical Associates PLLC

Physical Medicine & Rehabilitation · Lubbock, TX

NPI number1891430989
StatusActive
Last updated in NPPESMay 5, 2022

Details

NPI
1891430989
Entity type
Organization (NPI-2)
Legal business name
10611 Medical Associates PLLC
Organization subpart
No
Enumeration date
May 3, 2022
Certification date
May 5, 2022
Last updated
May 5, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208100000X Physical Medicine & Rehabilitation––Yes
207Q00000X Family Medicine––
363LF0000X Nurse Practitioner, Family––
111N00000X Chiropractor––

Practice location

10611 Quaker Ave
Lubbock, TX 79424-8309

Phone 806-797-4000

Mailing address

10611 Quaker Ave
Lubbock, TX 79424-8309

Phone 806-797-4000

Authorized official

Jason Helton
Owner
8067974000

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