Organization
NEONATAL INTENSIVE CARE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWIN A CONTRERAS M.D. (PRESIDENT)
(806) 725-4251
Entity
Organization
Contact information
Practice address
4000 24TH ST, NICU, LUBBOCK, TX 79410-1894
(806) 725-4251
(806) 799-6908
Mailing address
PO BOX 6610, LUBBOCK, TX 79493-6610
(806) 796-0507
(806) 799-6908
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
F5874
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00F20Y
MEDICARE ID
—
05
—
V7612
—
NM
Enumeration date
06/07/2007
Last updated
01/02/2008
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