Individual
JIE PAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST STOP 8321, LUBBOCK, TX 79430-8321
(806) 743-3832
Mailing address
3601 4TH ST STOP 8321, LUBBOCK, TX 79430-8321
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
BP10063318
TX
Other
Enumeration date
06/11/2018
Last updated
06/11/2018
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