Individual
GUSTAVO ALONSO BENDECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
4010 22ND ST, LUBBOCK, TX 79410-1116
(806) 767-1706
Mailing address
PO BOX 2828, LUBBOCK, TX 79408-2828
(806) 767-1706
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00880
TX
Other
Enumeration date
08/16/2006
Last updated
07/27/2015
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