Organization
SKIN CANCER INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFFREY SCOTT BRACKEEN MD (PARTNER)
(806) 701-5844
Entity
Organization
Contact information
Practice address
4709 66TH ST, LUBBOCK, TX 79414-4877
(806) 701-5844
(806) 701-5845
Mailing address
4709 66TH ST, LUBBOCK, TX 79414-4877
(806) 701-5844
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
05/21/2024
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