Individual
DR. GABRIEL AXELRUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4101 22ND PL, LUBBOCK, TX 79410
(806) 725-8000
(806) 723-6031
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
S1555
TX
390200000X
Student in an Organized Health Care Education/Training Program
TRN20336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
35889721
—
NM
05
—
401724601
—
TX
01
—
846841
MEDICARE
TX
01
—
8LL786
BCBS
TX
Enumeration date
05/23/2014
Last updated
09/15/2020
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