Individual
ADAM PURTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3611 22ND PL, LUBBOCK, TX 79410-1317
(806) 799-7928
(806) 788-8560
Mailing address
3509 22ND ST, LUBBOCK, TX 79410-1307
(806) 799-7928
(806) 788-8500
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
BP10040260
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Q7948
TEXAS MEDICAL LICENSE
TX
Enumeration date
05/26/2011
Last updated
11/09/2021
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