Organization
CONNAUGHT MEDICAL PRACTICE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN PATRICK LAVELLE MD (FAMILY PRACTICE)
(806) 826-2226
Entity
Organization
Contact information
Practice address
307 EAST NINTH ST, WHEELER, TX 79096-0296
(806) 826-2226
Mailing address
PO BOX 130, WHEELER, TX 79096-0130
(806) 826-2226
(806) 826-2282
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
G4024
TX
Other
Enumeration date
10/16/2008
Last updated
03/12/2009
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