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Organization
COVENANT MEDICAL GROUP
Active
Organization
COVENANT MEDICAL GROUP
Active
Other names
Covenant Medical Group Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN KOTHMANN (VICE PRESIDENT/COO)
(806) 725-7800
Entity
Organization
Contact information
Practice address
1910 QUAKER AVENUE, SUITE 101, LUBBOCK, TX 79407
(806) 725-4440
(806) 725-4441
Mailing address
3420 22ND PL, LUBBOCK, TX 79410-1314
(806) 725-7800
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/29/2013
Last updated
08/29/2013
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