Individual
JEFFREY SCOTT BRACKEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4709 66TH ST, LUBBOCK, TX 79414-4877
(806) 791-5844
(806) 701-5845
Mailing address
4709 66TH ST, LUBBOCK, TX 79414-4877
(806) 701-5844
(806) 701-5845
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
L2818
TX
207ND0101X
MOHS-Micrographic Surgery Physician
L2818
TX
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
L2818
TX
Other
Enumeration date
08/16/2007
Last updated
05/21/2024
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