Individual
DR. PHILIP J. LUBRANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1142
(817) 334-0235
Mailing address
4916 OVERTON PLZ, FORT WORTH, TX 76109-4415
(817) 529-1142
(817) 334-0235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
H4503
TX
207LP2900X
Pain Medicine (Anesthesiology) Physician
H4503
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131851103
—
TX
05
—
131851107
—
TX
Enumeration date
03/23/2006
Last updated
11/09/2012
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