MR. Gerald Joe Hargrave II, PA-C, CSA

NPI #1598194136 in Lubbock, Texas

Provider Information

NPI Number: 1598194136
Entity Type: Individual
Name: MR. Gerald Joe Hargrave II, PA-C, CSA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C, CSA
Enumeration Date: Nov 4, 2013
Last Updated: Apr 19, 2023

Practice Location

Address: 602 INDIANA AVE
City: Lubbock
State: Texas
ZIP Code: 79415-3364
Phone: (806) 775-8200

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant - Medical — Medical	363AM0700X
Physician Assistant - Surgical — Surgical	363AS0400X
Physician Assistant	363A00000X	Primary

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