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Individual

MICHAEL CALLAN WEEMS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PTA

Contact information

Practice address
2431 S LOOP 289, LUBBOCK, TX 79423-1519
(806) 771-7661
(806) 687-0534
Mailing address
6202 82ND ST, LUBBOCK, TX 79424-3691
(806) 687-8008
(806) 687-8009

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA2019014TX
TX

Other

Enumeration date
07/19/2005
Last updated
08/09/2011
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