Individual
JOSHUA KYLE BRODBECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8200
Mailing address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1085591
TX
363LA2100X
Acute Care Nurse Practitioner
1085591
TX
Other
Enumeration date
06/22/2022
Last updated
05/31/2023
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