Individual
HOLLY DAWN SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
(806) 792-9466
Mailing address
4110 22ND PL, LUBBOCK, TX 79410-1122
(806) 792-4329
(806) 792-9466
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA04050
TX
Other
Enumeration date
04/14/2006
Last updated
07/25/2014
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