Texas Tech University

NPI #1871805788 in Lubbock, Texas

Provider Information

NPI Number
1871805788
Entity Type
Organization
Organization Name
Texas Tech University
Primary Specialty
Clinic/Center - VA
Enumeration Date
Jul 8, 2010
Last Updated
Jul 8, 2010

Practice Location

Address
5710 4TH ST
Address 2
3026
State
Texas
ZIP Code
79416-4214
Phone
(832) 341-9832

Authorized Official

Name
DR. ALEXIS DOUGHERTY
Title
RESIDENT/PGY2
Phone
(832) 341-9832

Specialties & Taxonomy Codes

Specialty
Clinic/Center - VAVA

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