Organization
7007 INDIANA ER PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE RADLEY (COO)
(817) 421-0034
Entity
Organization
Contact information
Practice address
7007 INDIANA AVE, LUBBOCK, TX 79413-6113
(806) 701-4141
(817) 421-0036
Mailing address
910 S KIMBALL AVE, SOUTHLAKE, TX 76092-9005
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/22/2020
Last updated
03/11/2024
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