Individual
MR. JENSEN DANIEL FRITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
4414 14TH ST, LUBBOCK, TX 79416-4802
(806) 788-8768
Mailing address
4414 14TH ST, LUBBOCK, TX 79416-4802
(806) 788-8768
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
PF0064
TX
Other
Enumeration date
04/21/2007
Last updated
07/08/2007
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