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Lubbock Plastic Surgery Center, LP

NPI #1003264425 in Lubbock, Texas

Provider Information

NPI Number
1003264425
Entity Type
Organization
Organization Name
Lubbock Plastic Surgery Center, LP
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 26, 2016
Last Updated
May 26, 2016

Practice Location

Address
10105 QUAKER AVE
City
Lubbock
State
Texas
ZIP Code
79424-7380
Phone
(806) 797-6398

Authorized Official

Name
MR. CHAD RICKY SOUTHARD, FACHE, FHFMA
Title
ADMINISTRATOR
Phone
(806) 797-6398

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory Surgical — Ambulatory Surgical

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