Organization
LUBBOCK DIGESTIVE DISEASE ASSOCIATES
Active
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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