Organization
LUBBOCK GYNECOLOGIC ONCOLOGY ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARY PHILLIPS BBA (ADMINISTRATOR)
(806) 796-1317
Entity
Organization
Contact information
Practice address
3621 22ND ST, SUITE 100, LUBBOCK, TX 79410-1301
(806) 796-1317
(806) 796-0426
Mailing address
3621 22ND ST, SUITE 100, LUBBOCK, TX 79410-1301
(806) 796-1317
(806) 796-0426
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00897K
BLUE CROSS BLUE SHIELD
TX
Enumeration date
09/09/2005
Last updated
08/22/2020
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