Individual
BERTRAND BODO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
8214 MILWAUKEE AVE, STE 200, LUBBOCK, TX 79424-0923
(806) 475-5544
(806) 475-5545
Mailing address
8214 MILWAUKEE AVE, STE 200, LUBBOCK, TX 79424-0923
(806) 475-5544
(806) 475-5545
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
AP130666
TX
Other
Enumeration date
03/24/2016
Last updated
11/03/2020
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