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Organization

GARRY R POLLOCK, M.D., P.A.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARRY R POLLOCK M.D. (OWNER)
(806) 771-3030
Entity
Organization

Contact information

Practice address
4642 N LOOP 289 STE 105, LUBBOCK, TX 79416-2422
(806) 771-3030
Mailing address
4642 N LOOP 289 STE 105, LUBBOCK, TX 79416-2422
(806) 771-3030

Taxonomy

Speciality
Code
Description
License number
State
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
J0204
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121644100
FIRSTCARE
TX
05
122132704
TX
01
400000574
MEDICARE RAILROAD
TX
01
8H1561
BLUE CROSS BLUE SHIELD
TX
Enumeration date
01/10/2007
Last updated
01/28/2008
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