Organization
GENERATION COVENANT HEALTHCARE
Active
Parent organization
GENERATION COVENANT
Other names
Generation Healthcare
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENERATION COVENANT
Authorized official
MERINDA KATHRYN CONDRA (CHIEF EXECUTIVE OFFICER)
(806) 741-0268
Entity
Organization
Contact information
Practice address
14 BRIERCROFT OFFICE PARK, LUBBOCK, TX 79412-3035
(806) 795-7123
(806) 795-7172
Mailing address
PO BOX 2507, LUBBOCK, TX 79408-2507
(806) 741-0268
(806) 741-0142
Taxonomy
Speciality
Code
Description
License number
State
261QF0050X
Non-Surgical Family Planning Clinic/Center
Primary
—
—
Other
Enumeration date
09/10/2014
Last updated
09/10/2014
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