Organization
PEDIATRIC AND ADOLESCENT CLINIC OF WEST TEXAS, P.A.
Active
Other names
LEOPOLDO CABRERA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LEOPOLDO A CABRERA M.D. (PRESIDENT)
(806) 722-4453
Entity
Organization
Contact information
Practice address
542419TH ST, STE 200, LUBBOCK, TX 79407-2106
(806) 722-4453
(806) 722-4461
Mailing address
PO BOX 16367, LUBBOCK, TX 79490-6367
(806) 722-4453
(806) 722-4461
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
122410706
—
TX
Enumeration date
04/02/2009
Last updated
01/19/2010
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