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Juan Carlos De La Cerda
Other Technician in Lubbock, Texas
NPI 1033282629

Juan Carlos De La Cerda is a Other Technician based in Lubbock, TX. Juan Carlos De La Cerda practices in Lubbock, TX. The NPI Number for Juan Carlos De La Cerda is 1033282629 and holds a License No. 25718 (Texas).

The current practice location address for Juan Carlos De La Cerda is 1902 50Th St, Lubbock, TX and can be reached out via phone at 806-771-1386 and via fax at 806-771-1388.

Location: 1902 50Th St, Lubbock, TX, 79453-4136
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1033282629
Provider Name
Juan Carlos De La Cerda
Credential
Provider Entity Type
Organization
Address
1902 50Th St, Lubbock, TX, 79453-4136
Phone Number
806-771-1386
Fax Number
806-771-1388
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0147DC 01 TX BLUE CROSS BLUE SHIELD
00MDXO 01 TX BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1902 50Th St
City
Lubbock
State
Texas
Zip
79412-2706
Phone Number
806-771-1386
Fax Number
806-771-1388
person
Provider Business Mailing Address Details
Address
1902 50Th St
City
Lubbock
State
Texas
Zip
79412-2706
Phone Number
806-771-1386
Fax Number
806-771-1388
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Other
Speciality
-
Taxonomy
247200000X
License No.
25718 (Texas)
Definition
A collective term for persons with specialized training in various narrow fields of expertise whose occupations require training and skills in specific technical processes and procedures; and where further classification is deemed unnecessary by the user.
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