Healthcare Provider Details

I. General information

NPI: 1427486414
Provider Name (Legal Business Name): LEX DEAN DOOLEY PA-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/29/2013
Last Update Date: 10/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 4TH ST MEDICAL PAVILION, 3RD FLOOR MAILSTOP 9903
LUBBOCK TX
79430-0002
US

IV. Provider business mailing address

3601 4TH ST MEDICAL PAVILION, 3RD FLOOR
LUBBOCK TX
79430-0002
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-7335
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: