Organization · Type 2 NPI

Pediatric and Adolescent Clinic of West Texas, P.a.

Primary Care Clinic/Center · Lubbock, TX

NPI number 1255573465 Active

Practice location

542419th St, Ste 200
Lubbock, TX 79407-2106

Fax (806) 722-4461

Mailing address

PO Box 16367
Lubbock, TX 79490-6367

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XNone listed

Primary Care Clinic/Center: Definition to come...

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About NPI 1255573465

Pediatric and Adolescent Clinic of West Texas, P.a.'s National Provider Identifier is 1255573465, issued on Apr 2, 2009. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Lubbock, TX. The record was last updated on Jan 19, 2010.