STACY ELAINE NEUDORF

LUBBOCK, TX
NPI1164781381
Former NameSTACY ELAINE ALLEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: TX  PA10708)
Enumeration Date2012-05-08
Last Update Date2016-10-18
Business Address
-- STACY ELAINE NEUDORF PA-C
4015 22ND PL
LUBBOCK, TX 79410-1119
Phone number: 806-725-0030
Mailing Address
-- STACY ELAINE NEUDORF PA-C
3420 22ND PL
LUBBOCK, TX 79410-1314
Phone number: 806-725-5844