| |
5607 114th St, Suite 100, Lubbock, TX 79424 | |
(806) 798-3600 | |
(806) 798-3601 |
Full Name | |
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Type | Facility |
Speciality | Clinic/center - Hearing And Speech |
Location | 5607 114th St, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598255507 | NPI | - | NPPES |
Provider Name | Arica Black |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1871938639 PECOS PAC ID: 5991949455 Enrollment ID: I20130924000055 |
Provider Name | Kendall Victoria Morales |
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Provider Type | Practitioner - Qualified Audiologist |
Provider Identifiers | NPI Number: 1629717616 PECOS PAC ID: 8729455688 Enrollment ID: I20221104002343 |
Mailing Address | Practice Location Address |
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5607 114th St, Suite 100, Lubbock, TX 79424 Ph: (806) 798-3600 | 5607 114th St, Suite 100, Lubbock, TX 79424 Ph: (806) 798-3600 |