Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Active
Other names
Texas Tech Neuroimaging Institute
Organization subpart
No
Provider details
NPI number
Authorized official
YAZAN ALDERAZI MD (FACULTY)
(806) 743-2391
Entity
Organization
Contact information
Practice address
1008 CANTON AVE, ROOM 018BF, LUBBOCK, TX 79409-3132
(806) 742-3400
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-4263
(806) 743-5687
Taxonomy
Speciality
Code
Description
License number
State
2084D0003X
Diagnostic Neuroimaging (Psychiatry & Neurology) Physician
Primary
Q8817
TX
Other
Enumeration date
09/07/2016
Last updated
10/01/2019
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