Organization
GENERATION COVENANT HEALTHCARE
Active
Other names
Generation Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MERINDA KATHRYN CONDRA (CEO)
(806) 741-0268
Entity
Organization
Contact information
Practice address
#14 BRIERCROFT OFFICE PARK, LUBBOCK, TX 79412-3035
(806) 795-7123
(806) 795-7172
Mailing address
#14 BRIERCROFT OFFICE PARK, LUBBOCK, TX 79412-3035
(806) 795-7123
(806) 795-7172
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
TX
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
Other
Enumeration date
05/23/2007
Last updated
04/02/2014
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