| Caprock Oral Surgery, Pllc | |
|
5730 66th St Lubbock TX 79424-1224 | |
| (806) 794-0001 | |
| (806) 794-0025 |
| Full Name | Caprock Oral Surgery, Pllc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5730 66th St, Lubbock, Texas |
| Authorized Official Name and Position | Ramsey Matthew Fanous (OWNER) |
| Authorized Official Contact | 8067940001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Caprock Oral Surgery, Pllc 5730 66th St Lubbock TX 79424-1224 Ph: (806) 794-0001 | Caprock Oral Surgery, Pllc 5730 66th St Lubbock TX 79424-1224 Ph: (806) 794-0001 |
| NPI Number | 1558770214 |
|---|---|
| Provider Enumeration Date | 08/07/2014 |
| Last Update Date | 08/07/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558770214 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | TX16343 (Texas) | Primary |
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