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Individual

CAROL TRACY SUIT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4900 N LOVINGTON HWY, HOBBS, NM 88240-9109
(575) 492-5000
(575) 492-5505
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
L0628
TX
207V00000X
Obstetrics & Gynecology Physician
Primary
MD2023-1215
NM

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
039990905
TX
01
125006103
FIRSTCARE
TX
01
8BS954
BCBS
TX
Enumeration date
08/07/2007
Last updated
11/28/2023
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