Individual
DAVID L VERMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7008 INDIANA AVE, STE A, LUBBOCK, TX 79413-6114
(806) 698-8088
(806) 698-8588
Mailing address
7008 INDIANA AVE, STE A, LUBBOCK, TX 79413-6114
(806) 698-8088
(806) 698-8588
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
L9588
TX
207Q00000X
Family Medicine Physician
L9588
TX
2083P0011X
Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
L9588
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141215101
FIRST CARE
TX
05
—
170247406
—
TX
01
—
8J9471
BLUE CROSS/BLUE SHIELD
TX
01
—
I20218
UPIN
TX
01
—
P00321035
RR MEDICARE
TX
Enumeration date
06/30/2006
Last updated
09/19/2014
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