Organization
LUBBOCK ANESTHESIA SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT CLEMENS MD, PHD (CEO)
(660) 827-0492
Entity
Organization
Contact information
Practice address
4810 N LOOP 289, LUBBOCK, TX 79416-3025
(660) 826-5960
Mailing address
PO BOX 1547, SEDALIA, MO 65302-1547
(660) 826-5960
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/07/2024
Last updated
10/07/2024
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