Organization
COLVIN PAIN MANAGEMENT PLLC
Active
Other names
Interventional Pain Management
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY N COLVIN M.D. (PHYSICAN)
(806) 797-4596
Entity
Organization
Contact information
Practice address
4642 N LOOP 289 STE 209, LUBBOCK, TX 79416-2425
(806) 797-4596
(855) 529-0586
Mailing address
4642 N LOOP 289 STE 209, LUBBOCK, TX 79416-2425
(806) 797-4596
(855) 529-0586
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
H2313
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137839014
—
TX
Enumeration date
08/04/2014
Last updated
06/25/2015
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