Individual
MR. GERALD JOE HARGRAVE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C, CSA
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8200
Mailing address
301 UTICA AVE, LUBBOCK, TX 79416-3111
(806) 797-4985
(806) 792-8588
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA08739
TX
363AM0700X
Medical Physician Assistant
PA08739
TX
363AS0400X
Surgical Physician Assistant
PA08739
TX
Other
Enumeration date
11/04/2013
Last updated
04/19/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us