Individual
CODY RAY MANDRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3502 9TH ST STE 430, LUBBOCK, TX 79415-3368
(806) 761-0535
(806) 761-0534
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 785-7685
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
AP119696
TX
Other
Enumeration date
11/23/2010
Last updated
01/28/2022
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