Individual
COLE RAY VINYARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 761-0566
(806) 744-7252
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0334
(806) 785-0872
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
860003
TX
363LF0000X
Family Nurse Practitioner
Primary
1048927
TX
Other
Enumeration date
10/25/2021
Last updated
03/07/2023
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