W Chuck Brogan Iii Md Phd Pa

NPI 1578621967 - Internal Medicine - 207RC0000X

NPI Details
NPI 1578621967
Enumeration Date 12/05/2006
Last Updated 12/16/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOE X JOE
Position ADMINISTRATOR
Phone (806) 788-1377
Fax (806) 281-1567
Practice Location
7008 INDIANA AVENUE
SUITE A
LUBBOCK TX, 79413, US
Phone (806) 788-1377
Fax (806) 281-1567
Business Location
7008 INDIANA AVENUE
SUITE A
LUBBOCK TX, 79413, US
Phone (806) 788-1377
Fax (806) 281-1567
Toxanomy
Taxonomy Code 207RC0000X
License State Texas
License Number H9305
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According to our database, W Chuck Brogan Iii Md Phd Pa NPI is 1578621967, taxonomy code is 207RC0000X and license number is H9305, license state is located at Texas. W Chuck Brogan Iii Md Phd Pa physically located at 7008 Indiana Avenue, Lubbock TX, 79413. NPI Number 1033115704 has the healthcare provider type.

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1578621967 NPI number is provided on an as is basis without warranty of any kind. 1578621967 is maintained by the National Plan & Provider Enumeration System. The contents of W Chuck Brogan Iii Md Phd Pa are for informational purposes only.