Organization · Type 2 NPI
San Gabriel Clinica
Psychiatric/Mental Health Nurse Practitioner · Lubbock, TX
NPI number
1154094936
Active
Practice location
5811 64th St Ste 25
Lubbock, TX 79424-2724
Fax (877) 654-8335
Mailing address
PO Box 182
Wolfforth, TX 79382-0182
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | None listed |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | None listed |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1154094936
San Gabriel Clinica's National Provider Identifier is 1154094936, issued on Jul 28, 2021. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Lubbock, TX. The record was last updated on Oct 21, 2026.