Organization
LUBBOCK CARDIOLOGY CLINIC, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE WELLS (OFFICE MANAGER)
(806) 797-7002
Entity
Organization
Contact information
Practice address
3819 24TH ST, LUBBOCK, TX 79410-1829
(806) 797-7000
(806) 797-7055
Mailing address
3819 24TH ST, LUBBOCK, TX 79410-1829
(806) 797-7000
(806) 797-7055
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
—
207RI0011X
Interventional Cardiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
153423201
—
TX
Enumeration date
09/11/2006
Last updated
05/31/2011
Update your record
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