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Individual

MR. MARK STEPHEN CAFFEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT, OCS

Contact information

Practice address
6913 INDIANA AVE, LUBBOCK, TX 79413-6111
(806) 687-2788
(806) 687-2791
Mailing address
6913 INDIANA AVE, LUBBOCK, TX 79413-6111
(806) 687-2788
(806) 687-2791

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1085884
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
8T2722
BLUE CROSS BLUE SHIELD
TX
Enumeration date
10/31/2005
Last updated
07/08/2007
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