Organization
SOUTH CENTRAL PHYSICIANS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HARRY KYLE SHEETS MD (CEO)
(888) 264-0330
Entity
Organization
Contact information
Practice address
1602 AVENUE Q, LUBBOCK, TX 79401-4732
(888) 264-0330
Mailing address
1602 AVENUE Q, LUBBOCK, TX 79401-4732
(888) 264-0330
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100763470
—
KY
05
—
7100770390
—
KY
05
—
7100808000
—
KY
Enumeration date
04/22/2019
Last updated
07/30/2024
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