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Organization

EPIPHANY MEDICAL SERVICES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEFFREY HANNEL MD (PRESIDENT)
(806) 576-3856
Entity
Organization

Contact information

Practice address
13810 QUAKER AVE, LUBBOCK, TX 79424
(806) 576-3856
(806) 305-3348
Mailing address
PO BOX 65074, LUBBOCK, TX 79464-5074

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/17/2024
Last updated
04/17/2024
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