Individual
ERIC N/A MADRID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DNAP
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8299
Mailing address
3601 4TH ST STOP 8182, LUBBOCK, TX 79430-8182
(806) 743-4319
(806) 743-2984
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
143634
TX
Other
Enumeration date
06/12/2023
Last updated
06/19/2023
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