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Jorge R Brothers M D P A
Specialist in Lubbock, Texas
NPI 1457420515

Jorge R Brothers M D P A is a Specialist based in Lubbock, TX. Jorge R Brothers M D P A practices in Lubbock, TX. The NPI Number for Jorge R Brothers M D P A is 1457420515 and holds a License No. H1048 (Texas).

The current practice location address for Jorge R Brothers M D P A is 418 N Utica Ave, Lubbock, TX and can be reached out via phone at 806-771-5882 and via fax at 806-687-9002.

Location: 418 N Utica Ave, Lubbock, TX, 79416-3035
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457420515
Provider Name
Jorge R Brothers M D P A
Credential
Provider Entity Type
Organization
Address
418 N Utica Ave, Lubbock, TX, 79416-3035
Phone Number
806-771-5882
Fax Number
806-687-9002
Provider Enumeration Date
11/06/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
10658823 05 NM
0010PC 01 TX BLUE CROSS BLUE SHOIELD TEXAS
186542001 05 TX
institution
Provider Business Practice Location Address Details
Address
418 N Utica Ave
City
Lubbock
State
Texas
Zip
79416-3035
Phone Number
806-771-5882
Fax Number
806-687-9002
person
Provider Business Mailing Address Details
Address
418 N Utica Ave
City
Lubbock
State
Texas
Zip
79416-3035
Phone Number
806-771-5882
Fax Number
806-687-9002
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
H1048 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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