Individual
DR. STEPHEN LUKE GRUPKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
3601 21ST ST, LUBBOCK, TX 79410-1229
(806) 790-0399
Mailing address
2215 NASHVILLE AVE # MS 106, LUBBOCK, TX 79410-1105
(806) 725-5844
(859) 257-8902
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
49206
KY
207T00000X
Neurological Surgery Physician
Primary
S9137
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1K4394
MEDICARE
TX
05
—
40209512
—
NM
05
—
7100245890
—
KY
Enumeration date
05/12/2009
Last updated
01/20/2022
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