Individual
JEREMY FORBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3517 23RD ST, LUBBOCK, TX 79410-1323
(432) 425-3090
Mailing address
3517 23RD ST, LUBBOCK, TX 79410-1323
(432) 425-3090
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
805765
TX
Other
Enumeration date
12/23/2015
Last updated
12/23/2015
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