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Individual

DR. DOUGLAS G CUMMINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4515 MARSHA SHARP FWY, LUBBOCK, TX 79407-2520
(806) 744-7223
(806) 740-3325
Mailing address
2512 XENIA ST, SUITE 105, PLAINVIEW, TX 79072-1818
(806) 296-9300
(806) 296-9301

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
K7706
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
030789403
TX
01
8BE420
BCBS
TX
01
P00214637
MEDICARE RAILROAD
TX
Enumeration date
12/05/2005
Last updated
11/30/2018
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