Organization
LUBBOCK INTEGRATIVE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL BLAKE GAFFORD II LAC, MACOM (OWNER OF LUBBOCK INTEGRATIVE MEDICI)
(806) 797-7653
Entity
Organization
Contact information
Practice address
3711 20TH ST, SUITE B, LUBBOCK, TX 79410-1223
(806) 797-7653
Mailing address
3711 20TH ST, SUITE B, LUBBOCK, TX 79410-1223
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
TX01569
TX
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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