Organization
LUBBOCK NEPHROLOGY ASSOCIATES, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAYBIN SIMFUKWE M.D. (PRESIDENT)
(806) 771-1386
Entity
Organization
Contact information
Practice address
3708 22ND PL, SUITE A, LUBBOCK, TX 79410-1351
(806) 771-7412
(806) 771-7414
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
207RN0300X
Nephrology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
191390701
—
TX
Enumeration date
07/17/2007
Last updated
04/30/2024
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