Individual
BRITTANY GHERGHEREHCHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4138 19TH ST, LUBBOCK, TX 79407-2403
(806) 780-2329
(806) 780-2330
Mailing address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-8008
(806) 771-8008
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1279773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
359882302
—
TX
01
—
8ABG41
BCBS
TX
Enumeration date
06/01/2016
Last updated
11/16/2016
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