Individual
PATRICIA R. ARLEDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3502 9TH ST., SUITE 270, LUBBOCK, TX 79415
(806) 788-5598
(806) 788-0598
Mailing address
3502 9TH ST., SUITE 270, LUBBOCK, TX 79415
(806) 788-5598
(806) 788-0598
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
K9992
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106097201
—
TX
01
—
106097202
CIDC
—
01
—
107672100
FIRSTCARE/SWLH
—
01
—
107672101
FIRSTCARE MEDICAID
—
01
—
8A1972
BLUE CROSS BLUE SHIELD
—
01
—
B6365
MEDICAID
NM
Enumeration date
09/26/2006
Last updated
01/25/2012
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