CAPROCK ORAL SURGERY, PLLC
Medical Practice in Lubbock, TX

License number
Texas TX16343
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
License number
Texas 11953
Category
Medical Practice
Type
Oral & Maxillofacial Surgery
Owner
Name: DR. RAMSEY MATTHEW FANONS DDS
Title: MANAGING MEMBER
Phone: (806) 794-0001
Address
Address
5730 66 St., Lubbock, TX 79424
National Provider ID: 1821405416
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CAPROCK ORAL SURGERY, PLLC

5730 66 St, Lubbock, TX 79424

Doing business as:
Caprock Oral Surgery, Pllc
Registration:
Jun 13, 2014
State ID:
0802008209
Business type:
Domestic Limited Liability Company (LLC)
Managing Member:
Ramsey Fanous (Managing Member)
TIN:
32054337038

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