Individual
MARY FITZGIBBON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2669
Mailing address
7217 24TH ST, LUBBOCK, TX 79407-4373
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
BP10095320
TX
208000000X
Pediatrics Physician
2024023405
MO
Other
Enumeration date
07/08/2024
Last updated
08/24/2025
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