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Organization
LUBBOCK VASCULAR ACCESS CENTER
Active
Organization
LUBBOCK VASCULAR ACCESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LEE COLEMAN FNP, JD (FACILITY ADMINISTRATOR)
(806) 792-2222
Entity
Organization
Contact information
Practice address
1126 SLIDE RD, SUITE 1, LUBBOCK, TX 79416-5462
(806) 792-2222
(806) 792-8888
Mailing address
1126 SLIDE RD, SUITE 1, LUBBOCK, TX 79416-5462
(806) 792-2222
(806) 792-8888
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14579
TX
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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