Individual
DR. CURTIS JAY CAROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9812 SLIDE RD, LUBBOCK, TX 79424-5781
(806) 725-8450
(806) 783-9283
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L6311
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
23328070
—
NM
01
—
8CS231
BLUE CROSS BLUE SHIELD
TX
Enumeration date
06/09/2005
Last updated
08/30/2023
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