Individual
ALEXANDER PARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
TTUHSC DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES, 3601 4TH STREET, MS 7217, ROOM 2A100, LUBBOCK, TX 79430
(806) 743-2020
Mailing address
TTUHSC DEPARTMENT OF OPHTHALMOLOGY AND VISUAL SCIENCES, 3601 4TH STREET, MS 7217, ROOM 2A100, LUBBOCK, TX 79430
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
BP10090147
TX
390200000X
Student in an Organized Health Care Education/Training Program
BP10090147
TX
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
01/16/2025
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