Organization
TEXAS PHYSICIANS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BOYD BALDOCK (OFFICER AND AUTHORIZED OFFICIAL)
(615) 234-5900
Entity
Organization
Contact information
Practice address
4802 N LOOP 289, LUBBOCK, TX 79416-3025
(806) 788-0040
Mailing address
4802 N LOOP 289, LUBBOCK, TX 79416-3025
(806) 788-0040
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
K5418
TX
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
05/11/2012
Last updated
07/23/2021
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