Individual
BREIANNA SHAE CORTEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3506 21ST ST STE 507, LUBBOCK, TX 79410-1233
(806) 725-4805
(806) 723-7076
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5228
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/09/2024
Last updated
09/11/2024
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