Organization
LUBBOCK CARDIOLOGY SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAIA GHANDOUR (ADMINISTRATOR)
(806) 788-0040
Entity
Organization
Contact information
Practice address
4802 N LOOP 289, LUBBOCK, TX 79416-3025
(806) 788-0040
(806) 788-0015
Mailing address
4802 N LOOP 289, LUBBOCK, TX 79416-3025
(806) 788-0040
(806) 784-4202
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
085725201
—
TX
Enumeration date
11/21/2005
Last updated
09/08/2017
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