Individual
HIMA BINDU RAVI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3801 50TH ST, LUBBOCK, TX 79413-3807
(806) 725-8500
(806) 723-6611
Mailing address
3516 22ND PL, LUBBOCK, TX 79410-1316
(806) 797-3322
(806) 797-6622
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
K9158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
038476003
—
TX
01
—
45D1035264
CLIA
—
01
—
8P1101
BLUC CROSS BLU SHIELD
—
Enumeration date
09/21/2006
Last updated
09/01/2022
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