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Individual

JOSE R PANIAGUA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
3506 21ST ST SUITE 302, LUBBOCK, TX 79410
(806) 725-0237
(806) 725-1030
Mailing address
3420 22ND PLACE, LUBBOCK, TX 79410
(806) 725-7800
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
544712
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150416901
TX
Enumeration date
04/17/2006
Last updated
07/22/2008
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