MR. Fred Gregory Sebastian IV, PA-C

NPI #1134661358 in Lubbock, Texas

Provider Information

NPI Number: 1134661358
Entity Type: Individual
Name: MR. Fred Gregory Sebastian IV, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Nov 7, 2016
Last Updated: Nov 7, 2016

Practice Location

Address: 3506 21ST ST
Address 2: SUITE 507
City: Lubbock
State: Texas
ZIP Code: 79410-1212
Phone: (806) 725-4805

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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