# LUBBOCK INTEGRATIVE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508256207
- **Authorized official:** DANIEL BLAKE GAFFORD II LAC, MACOM (OWNER OF LUBBOCK INTEGRATIVE MEDICI)
- **Authorized official phone:** (806) 797-7653

## Contact information

- **Practice address:** 3711 20TH ST, SUITE B, LUBBOCK, TX 79410-1223
- **Practice address phone:** (806) 797-7653
- **Mailing address:** 3711 20TH ST, SUITE B, LUBBOCK, TX 79410-1223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | TX01569 | TX | Yes |

## Other

- **Enumeration date:** 02/02/2015
- **Last updated:** 02/02/2015
