Individual
MR. GERARD LOUIE USMAN DOCDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(977) 390-9392
Mailing address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(977) 390-9392
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
1087485
TX
Other
Enumeration date
11/27/2024
Last updated
11/27/2024
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