Organization
SOUTH PLAINS SURGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ABRAHAM THOMAS (ADMINISTRATOR)
(806) 744-8600
Entity
Organization
Contact information
Practice address
3502 9TH ST, LUBBOCK, TX 79415-3300
(806) 744-8600
(806) 744-0072
Mailing address
3502 9TH STREET, LUBBOCK, TX 79415
(806) 744-8600
(806) 744-0072
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
J6763
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
151564501
—
TX
Enumeration date
03/29/2007
Last updated
08/22/2020
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