Individual
SALLY BUABENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8602 PEACH AVE, LUBBOCK, TX 79404-7777
(806) 745-1470
Mailing address
8602 PEACH AVE, LUBBOCK, TX 79404-7777
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
1181840
TX
Other
Enumeration date
10/20/2025
Last updated
01/13/2026
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