Individual
MR. GARY LEE LECROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
TRANSPORTATION
Contact information
Practice address
1413 TEXAS AVE, LUBBOCK, TX 79401-4035
(806) 771-5466
(806) 747-5660
Mailing address
1413 TEXAS AVE, LUBBOCK, TX 79401-4035
(806) 771-5466
(806) 747-5660
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
10404628
TX
Other
Enumeration date
03/07/2024
Last updated
03/07/2024
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