PASSISD LAOVEERAVAT

LUBBOCK, TX
NPI1740701002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: TX  BP10059576)
Enumeration Date2017-06-27
Last Update Date2022-07-21
Business Address
PASSISD LAOVEERAVAT md
3601 4TH ST # MS 9410
LUBBOCK, TX 79430-0002
Phone number: 806-743-3381
Mailing Address
PASSISD LAOVEERAVAT md
3601 4TH ST # MS 9410
LUBBOCK, TX 79430-0002
Phone number: 806-743-3381
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