Individual
JOSHUA MARK VAN SWOL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3601 4TH ST RM 2A100, LUBBOCK, TX 79430-0002
(806) 743-2020
Mailing address
3601 4TH ST RM 2A100, LUBBOCK, TX 79430-0002
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
BP10083617
TX
Other
Enumeration date
05/31/2023
Last updated
03/04/2024
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