Individual
DR. BRENT BOYE NALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Mailing address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
F2818
TX
207VG0400X
Gynecology Physician
Primary
F2818
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100215106
FIRST CARE
TX
05
—
116082206
—
TX
01
—
4363146
AETNA
TX
01
—
8V8690
BCBS
TX
01
—
P00395667
MEDICARE RAILROAD
TX
Enumeration date
01/09/2006
Last updated
12/01/2021
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