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Individual

DR. MAYBIN SIMFUKWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3708 22ND PL, SUITE A, LUBBOCK, TX 79410-1351
(806) 771-1386
(806) 771-1388
Mailing address
PO BOX 54136, LUBBOCK, TX 79453-4136
(806) 771-1386
(806) 771-1388

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L7888
TX
207RN0300X
Nephrology Physician
Primary
L7888
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
171618507
TX
01
8AK570
BCBS
TX
Enumeration date
03/30/2006
Last updated
10/17/2012
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