Healthcare Provider Details

I. General information

NPI: 1235465741
Provider Name (Legal Business Name): PATRICIA R. ARLEDGE, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/19/2009
Last Update Date: 10/19/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3502 9TH ST SUITE 270
LUBBOCK TX
79415-3300
US

IV. Provider business mailing address

3502 9TH ST SUITE 270
LUBBOCK TX
79415-3300
US

V. Phone/Fax

Practice location:
  • Phone: 806-788-5598
  • Fax:
Mailing address:
  • Phone: 806-788-5598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208200000X
TaxonomyPlastic Surgery Physician
License NumberK9992
License Number StateTX

VIII. Authorized Official

Name: DR. PATRICIA R. ARLEDGE
Title or Position: MANAGING MEMBER
Credential: M.D.
Phone: 806-535-4886