Patrick D Reeves Mdpa

NPI 1093895757 - Clinic/Center - 261QA1903X

NPI Details
NPI 1093895757
Enumeration Date 10/17/2006
Last Updated 06/30/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name PATRICK DARREN PATRICK
Position OWNER
Phone (806) 792-2104
Fax (806) 792-2134
Practice Location
4315 28TH STREET
SUITE 2
LUBBOCK TX, 79410, US
Phone (806) 792-2104
Fax (806) 792-2134
Business Location
4315 28TH STREET
SUITE 2
LUBBOCK TX, 79410, US
Phone (806) 792-2104
Fax (806) 792-2134
Toxanomy
Taxonomy Code 261QA1903X
License State Texas
License Number 007928
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According to our database, Patrick D Reeves Mdpa NPI is 1093895757, taxonomy code is 261QA1903X and license number is 007928, license state is located at Texas. Patrick D Reeves Mdpa physically located at 4315 28th Street, Lubbock TX, 79410. NPI Number 1033115704 has the healthcare provider type.

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1093895757 NPI number is provided on an as is basis without warranty of any kind. 1093895757 is maintained by the National Plan & Provider Enumeration System. The contents of Patrick D Reeves Mdpa are for informational purposes only.