Organization
WEST TEXAS FOOT SPECIALIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES LANIER NELSON JR. D.P.M. (OWNER)
(806) 795-8037
Entity
Organization
Contact information
Practice address
4412 50TH ST, LUBBOCK, TX 79414-3610
(806) 795-8037
(806) 799-6218
Mailing address
4412 50TH ST, LUBBOCK, TX 79414-3610
(806) 795-8037
(806) 799-6218
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0347
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CG1826
RR MED
TX
Enumeration date
05/04/2007
Last updated
12/27/2007
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