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Dr. Gabriel Axelrud, MD
Radiation Oncology Physician in Lubbock, Texas
NPI 1376955435

Gabriel Axelrud is a Radiation Oncology Physician based in Lubbock, TX and is specialized in Radiation Oncology. Gabriel Axelrud practices in Lubbock, TX and has the professional credentials of MD. The NPI Number for Gabriel Axelrud is 1376955435 and holds a License No. TRN20336 (Texas).

The current practice location address for Gabriel Axelrud is 4101 22Nd Pl, Lubbock, TX and can be reached out via phone at 806-725-8000 and via fax at 806-723-6031.

Location: 4101 22Nd Pl, Lubbock, TX, 79410-1105
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376955435
Provider Name
Gabriel Axelrud
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
4101 22Nd Pl, Lubbock, TX, 79410-1105
Phone Number
806-725-8000
Fax Number
806-723-6031
Provider Enumeration Date
05/23/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
401724601 05 TX
8LL786 01 TX BCBS
35889721 05 NM
846841 01 TX MEDICARE
institution
Provider Business Practice Location Address Details
Address
4101 22Nd Pl
City
Lubbock
State
Texas
Zip
79410
Phone Number
806-725-8000
Fax Number
806-723-6031
person
Provider Business Mailing Address Details
Address
4101 22Nd Pl
City
Lubbock
State
Texas
Zip
79410
Phone Number
806-725-8000
Fax Number
806-723-6031
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Radiation Oncology
Taxonomy
2085R0001X
License No.
S1555 (Texas)
Definition
A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
TRN20336 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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