Individual
CLAYTON LEE BRACKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
4709 66TH ST, LUBBOCK, TX 79414-4877
(806) 701-5844
(806) 701-5845
Mailing address
4709 66TH ST, LUBBOCK, TX 79414-4877
(806) 701-5844
(806) 701-5845
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP143475
TX
Other
Enumeration date
12/04/2019
Last updated
02/07/2022
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