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Individual

DR. LEOPOLDO AMANSEC CABRERA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., F.A.A.P.

Contact information

Practice address
542419TH ST, STE 200, LUBBOCK, TX 79407-2106
(806) 722-4453
(806) 722-4461
Mailing address
PO BOX 16367, LUBBOCK, TX 79490-6367
(806) 722-4453
(806) 722-4461

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
K0658
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0096AV
BCBS
TX
01
100128104
FIRSTCARE
TX
05
122410706
TX
Enumeration date
01/12/2006
Last updated
01/19/2010
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