SUSAN ROBERTSON DEVINE MD
Medical Practice at 6 St, Lubbock, TX

License number
Texas H9883
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: SUSAN ROBERTSON DEVINE M.D.
Title: PRESIDENT
Phone: (806) 791-1122
Address
Address
4403 6Th St, Lubbock, TX 79416
National Provider ID: 1003299850
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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SUSAN ROBERTSON DEVINE, M.D., PA

4403 6 St, Lubbock, TX 79416

Registration:
Apr 1, 2015
State ID:
0802182501
Business type:
Professional Association
Executive Committee, Member:
Susan Robertson Devine (Executive Committee, Member)
Agent:
Susan R Devine,4403 6 St, Lubbock, TX 79416 (Physical)
TIN:
32056750386

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