Organization
ROBERT J. COOLBAUGH, DC, DBA LUBBOCK ACCIDENT AND INJURY REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT J COOLBAUGH DC (OWNER)
(806) 780-1258
Entity
Organization
Contact information
Practice address
2318 50TH ST, LUBBOCK, TX 79412-2502
(806) 780-1258
(806) 780-1261
Mailing address
2318 50TH ST, LUBBOCK, TX 79412-2502
(806) 780-1258
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
F008104
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
605947
BLUE CROSS BLUE SHIELD
TX
Enumeration date
03/12/2008
Last updated
06/16/2008
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