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Organization
CATARACT & SURGICAL CENTER OF LUBBOCK LLC
Active
Organization
CATARACT & SURGICAL CENTER OF LUBBOCK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY T KHATER, M.D.,PH.D. M.D.,PH.D. (OWNER)
(806) 792-5900
Entity
Organization
Contact information
Practice address
5109 80TH ST, LUBBOCK, TX 79424-3017
(806) 792-5900
(806) 792-6092
Mailing address
5109 80TH ST, LUBBOCK, TX 79424-3017
(806) 792-5900
(806) 792-6092
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
007864
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HH1579
BLUE SHIELD
TX
Enumeration date
06/23/2005
Last updated
11/29/2007
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