Individual
GREGORY POLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2230 INDIANA AVE, LUBBOCK, TX 79410-2192
(806) 791-3399
Mailing address
2230 INDIANA AVE, LUBBOCK, TX 79410-2192
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
14561
TX
Other
Enumeration date
09/19/2022
Last updated
09/19/2022
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