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Individual

MICHAEL E KNAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4005 24TH ST, LUBBOCK, TX 79410-1835
(806) 792-2767
(888) 861-8858
Mailing address
4005 24TH ST, LUBBOCK, TX 79410-1835
(806) 792-2767
(806) 791-6709

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
K2162
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
101000101
FIRSTCARE
05
118848401
TX
05
118848405
TX
05
118848406
TX
01
87476Y
BCBS
TX
Enumeration date
10/25/2005
Last updated
11/03/2021
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