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Organization
JASON B LENTZ, MD PA
Active
Organization
JASON B LENTZ, MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON B LENTZ M.D. (OWNER)
(806) 385-6424
Entity
Organization
Contact information
Practice address
1600 S SUNSET AVE, LITTLEFIELD, TX 79339-4810
(806) 385-6424
(806) 385-4305
Mailing address
1600 S SUNSET AVE, LITTLEFIELD, TX 79339-4810
(806) 385-6424
(806) 385-4305
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
M4272
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0095RB
BCBS CLINIC B GRP
TX
05
—
191766801
—
TX
05
—
191767601
—
TX
01
—
8BB500
BCBS CLINIC B IND
TX
Enumeration date
11/29/2007
Last updated
07/16/2008
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