Individual
MONJA L PROCTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4102 22ND PL, LUBBOCK, TX 79410-1122
(806) 725-0237
(806) 725-1030
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
Primary
J7836
TX
2086S0120X
Pediatric Surgery Physician
MD00041914
WA
2086S0120X
Pediatric Surgery Physician
PT13389
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1E9888
MEDICARE
TX
05
—
8369837
—
WA
Enumeration date
10/25/2006
Last updated
08/03/2020
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