Organization
LUBBOCK PLASTIC SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD J NORTH MD (OWNER)
(806) 793-5545
Entity
Organization
Contact information
Practice address
4404 6TH ST, LUBBOCK, TX 79416-4732
(806) 793-5545
(806) 795-1411
Mailing address
4404 6TH ST, LUBBOCK, TX 79416-4732
(806) 793-5545
(806) 795-1411
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F1173
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
163203601
—
TX
Enumeration date
08/18/2006
Last updated
06/18/2008
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