Organization
CARRILLON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BECCA J BECTON (DEPARTMENT MANAGER)
(806) 281-6232
Entity
Organization
Contact information
Practice address
1717 NORFOLD BLD A, LUBBOCK, TX 79416
(806) 281-6232
Mailing address
1717 NORFOLK AVE BLDG A, LUBBOCK, TX 79416-6065
(806) 281-6232
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
2078111
TX
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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