Organization
JOHN E STREIT MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN E STREIT MD (MEDICAL DOCTOR)
(806) 795-3937
Entity
Organization
Contact information
Practice address
4014 22ND PL, SUITE 4, LUBBOCK, TX 79410-1103
(806) 795-3937
(806) 795-4813
Mailing address
4014 22ND PL, SUITE 4, LUBBOCK, TX 79410-1103
(806) 795-3937
(806) 795-4813
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
G8450
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133103505
—
TX
Enumeration date
03/17/2011
Last updated
08/02/2011
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