Organization
COMMUNITY HEALTH CENTER OF LUBBOCK, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SULLIVAN CEO (CHIEF EXECUTIVE OFFICER)
(806) 765-2611
Entity
Organization
Contact information
Practice address
1610 5TH ST, LUBBOCK, TX 79401-2622
(806) 765-2611
Mailing address
1610 5TH ST, LUBBOCK, TX 79401-2622
(806) 765-2611
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
74509
TX
Other
Enumeration date
04/14/2017
Last updated
04/14/2017
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