Individual
MR. JASON GLENN POLK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BS, RRT, RCP
Contact information
Practice address
517 82ND ST, LUBBOCK, TX 79404-6337
(806) 745-2551
(806) 745-5171
Mailing address
517 82ND ST, LUBBOCK, TX 79404-6337
(806) 745-2551
(806) 745-5171
Taxonomy
Speciality
Code
Description
License number
State
2279H0200X
Home Health Registered Respiratory Therapist
2464
NM
2279H0200X
Home Health Registered Respiratory Therapist
Primary
57131
TX
Other
Enumeration date
11/28/2007
Last updated
11/28/2007
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