Individual
MR. CULLEN LEE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.S.A.
Contact information
Practice address
3502 9TH ST STE 260, LUBBOCK, TX 79415-5305
(806) 792-8185
(806) 792-9180
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 792-9180
Taxonomy
Speciality
Code
Description
License number
State
246XC2903X
Vascular Specialist/Technologist Cardiovascular
SA00109
TX
246ZC0007X
Surgical Assistant
Primary
SA00109
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
109783100
FIRST CARE
—
Enumeration date
07/17/2007
Last updated
03/18/2021
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