Organization
JOHNNY QUBTY, MD,PA
Active
Other names
Johnny Qubty, MD, PA
Organization subpart
No
Provider details
NPI number
Authorized official
VICKEY R. COOPER CPC (BILLING ADMINISTRATOR)
(806) 771-5205
Entity
Organization
Contact information
Practice address
3601 21ST ST, SUITE 3-A, LUBBOCK, TX 79410-1229
(806) 771-7877
(806) 771-7474
Mailing address
3601 21ST ST, SUITE 3-A, LUBBOCK, TX 79410-1229
(806) 771-5205
(806) 771-7474
Taxonomy
Speciality
Code
Description
License number
State
208VP0014X
Interventional Pain Medicine Physician
Primary
H2703
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166281901
—
TX
Enumeration date
11/02/2007
Last updated
11/02/2007
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