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Organization
WILSON ANESTHESIA LUBBOCK PA
Active
Organization
WILSON ANESTHESIA LUBBOCK PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN E. ANDERSON MD (PRESIDENT)
(806) 792-2104
Entity
Organization
Contact information
Practice address
4315 28TH ST, LUBBOCK, TX 79410-2507
(806) 792-2104
(806) 792-2134
Mailing address
4315 28TH ST, LUBBOCK, TX 79410-2507
(806) 792-2104
(806) 792-2134
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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