Organization
LUBBOCK SURGICAL ASSOCIATES, LLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH G GODINEZ (BILLING MANAGER)
(806) 771-2222
Entity
Organization
Contact information
Practice address
3611 22ND PL, LUBBOCK, TX 79410-1317
(806) 771-2222
(806) 771-2224
Mailing address
3611 22ND PL, LUBBOCK, TX 79410-1317
(806) 771-2222
(806) 771-2224
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0034ER
BCBS GROUP #
TX
05
—
142446701
—
TX
Enumeration date
03/02/2007
Last updated
09/04/2013
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