Organization
LUBBOCK VASCULAR ACCESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER LEE COLEMAN FNP, JD (FACILITY ADMINISTRATOR)
(806) 792-2222
Entity
Organization
Contact information
Practice address
1126 SLIDE RD, SUITE 1, LUBBOCK, TX 79416-5462
(806) 792-2222
(806) 792-8888
Mailing address
1126 SLIDE RD, SUITE 1, LUBBOCK, TX 79416-5462
(806) 792-2222
(806) 792-8888
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
14579
TX
Other
Enumeration date
11/30/2016
Last updated
11/30/2016
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