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Organization
TONY G. HEDGES, DO, PA
Active
Organization
TONY G. HEDGES, DO, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERI ISETT (ACCOUNTANT)
(806) 771-3565
Entity
Organization
Contact information
Practice address
4833 50TH ST, LUBBOCK, TX 79414-3418
(806) 771-3565
(806) 771-3560
Mailing address
4833 50TH ST, LUBBOCK, TX 79414-3418
(806) 771-3565
(806) 771-3560
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202HM
BCBS OF TX GROUP #
TX
01
—
CH0920
RAILROAD MEDICARE GROUP#
TX
Enumeration date
05/19/2006
Last updated
01/17/2008
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