Organization
LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES PA
Active
Parent organization
LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES
Other names
Lubbock Vascular Access
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES
Authorized official
JENNIFER LEE COLEMAN NP (FACILITY ADMINISTRATION)
(806) 793-8447
Entity
Organization
Contact information
Practice address
1126 SLIDE RD, SUITE # 1, LUBBOCK, TX 79416-5462
(806) 792-2222
Mailing address
1126 SLIDE RD, SUITE # 1, LUBBOCK, TX 79416-5462
(806) 792-2222
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14579
TX
Other
Enumeration date
05/11/2017
Last updated
08/25/2023
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