Individual
DAVID BLAIR WILLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3711 20TH ST STE C, LUBBOCK, TX 79410-1223
(806) 744-4645
(806) 368-8746
Mailing address
2223 17TH ST, LUBBOCK, TX 79401-4523
(806) 744-4646
(806) 368-8746
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
80717
TX
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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