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Organization

MARK LULEY DO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK LULEY D.O. (PRESIDENT)
(505) 803-1748
Entity
Organization

Contact information

Practice address
4400 N BIG SPRING ST STE A9, MIDLAND, TX 79705-4600
(505) 803-1748
Mailing address
4400 N BIG SPRING ST STE A9, MIDLAND, TX 79705-4600
(505) 803-1748

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
P1472
TX

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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