Individual
CLAIR PARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
3601 4TH ST STOP 9406, LUBBOCK, TX 79430-9406
(806) 743-7660
Mailing address
3601 4TH ST STOP 9406, LUBBOCK, TX 79430-9406
(806) 743-7660
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
BP10083601
TX
Other
Enumeration date
05/18/2023
Last updated
05/18/2023
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