LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES
Ambulatory Health in Lubbock, TX

License number
Texas 14579
Category
Ambulatory Health
Type
Ambulatory Surgical
Owner
Name: JENNIFER COLEMAN
Title: FACILITY ADMINISTRATOR
Phone: (806) 792-2222
Address
Address
1126 Slide Rd Suite #1, Lubbock, TX 79416
National Provider ID: 1669909404
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LUBBOCK INTERVENTIONAL NEPHROLOGY ASSOCIATES, PA

1126 Slide Rd UNIT 4B, Lubbock, TX 79416

Doing business as:
Lubbock Interventional Nephrology Associates, PA
Registration:
Jun 2, 2008
State ID:
0800986208
Business type:
Professional Association
Director , Member , Vice-Presidents:
Clarence J. Wheeler (President , Director , Member),Janet Cruz (Treasurer , Director , Member),James Todd Rose (Director , Member , Secretary),...
Agent:
Clarence J Wheeler Iii,1126 Slide Rd SUITE 4B, Lubbock, TX 79416 (Physical)
TIN:
32037194720

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