Organization
WEST TEXAS PAIN INSTITUTE, LLC
Active
Other names
West Texas Surgicenter
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL OLIVA (MANGER)
(806) 239-4488
Entity
Organization
Contact information
Practice address
4316 23RD ST, LUBBOCK, TX 79410-1812
(806) 791-4588
Mailing address
4316 23RD ST, LUBBOCK, TX 79410-1812
(806) 791-4588
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
0800033644
TX
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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