Individual
DAN BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-1000
Mailing address
3601 4TH ST STOP 8182, LUBBOCK, TX 79430-8182
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
T9648
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/29/2017
Last updated
09/27/2022
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