Organization
LUBBOCK DIGESTIVE DISEASE ASSOCIATES
Active
Other names
South Plains Anesthesia
Organization subpart
No
Provider details
NPI number
Authorized official
TED LYNN PHIPPS M.D. (PRESIDENT)
(806) 793-3141
Entity
Organization
Contact information
Practice address
3610 24TH ST, LUBBOCK, TX 79410-2014
(806) 793-3141
(806) 771-2235
Mailing address
3610 24TH ST, LUBBOCK, TX 79410-2014
(806) 793-3141
(806) 771-2235
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
10/13/2015
Last updated
10/13/2015
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