Individual
TRISHA MELAINE KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
3702 22ND PL, LUBBOCK, TX 79410-1320
(806) 747-4467
(806) 788-1708
Mailing address
3702 22ND PL, LUBBOCK, TX 79410-1320
(806) 747-4467
(806) 788-1708
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
1781
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1923302
—
TX
05
—
192330208
—
TX
05
—
192330209
—
TX
05
—
192330210
—
TX
01
—
P01571957
RAILROAD MEDICARE
TX
Enumeration date
11/16/2006
Last updated
01/25/2016
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