Individual
MARK MILLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-2981
Mailing address
3601 4TH ST, LUBBOCK, TX 79430-0002
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
3143
AL
Other
Enumeration date
05/12/2019
Last updated
07/23/2025
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