Individual
ZHAUNN MIKHAIL SLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-5302
(806) 743-3659
(806) 743-3143
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-6211
(806) 743-6147
(806) 743-1599
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
BP10060883
TX
207RI0011X
Interventional Cardiology Physician
Primary
V0174
TX
Other
Enumeration date
05/23/2017
Last updated
07/23/2024
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