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PATRICIA SUTKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
3601 4TH ST, SUITE 1C102, LUBBOCK, TX 79430-0002
(806) 743-2800
(806) 743-1668
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787

Taxonomy

Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
31322
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
68843
PRESBYTERIAN COMMERCIAL
NM
05
68843
NM
05
77748
NM
01
84154Z
HMO BLUE
TX
01
87119A
BC/BS
TX
01
A545
TRIWEST
NM
Enumeration date
12/20/2005
Last updated
07/16/2007
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