Organization
GREG A. NESTEBY
Active
Other names
B & G Orthopedic Appliances
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY ALFRED NESTEBY L.O., B.O.C., A.B.C. (OWNER)
(806) 792-6193
Entity
Organization
Contact information
Practice address
4433 34TH ST, LUBBOCK, TX 79410-2416
(806) 792-6193
(806) 792-2863
Mailing address
4433 34TH ST, LUBBOCK, TX 79410-2416
(806) 792-6193
(806) 792-2863
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
222Z00000X ORTHO 377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087031301
—
NM
05
—
087031301
—
TX
01
—
102339100
FIRST CARE
TX
01
—
513125
NM BCBS
TX
Enumeration date
11/07/2006
Last updated
08/28/2008
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