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Organization
WEST TEXAS DIGESTIVE DISEASE CENTER, PA
Active
Organization
WEST TEXAS DIGESTIVE DISEASE CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOUSSAM AL KHARRAT M.D. (PRESIDENT)
(806) 788-4368
Entity
Organization
Contact information
Practice address
5115 80TH ST, LUBBOCK, TX 79424-3017
(806) 788-4368
(806) 788-4369
Mailing address
PO BOX 93128, LUBBOCK, TX 79493-3128
(806) 788-4368
(806) 788-4369
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
L8588
TX
363L00000X
Nurse Practitioner
—
NULL
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
05/25/2007
Last updated
03/15/2023
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