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General NPI Number Information
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NPI Number | 1235936360
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Entity Type | Organization
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Legal Business Name | FLATLAND PSYCHIATRY PLLC
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 6410 98TH ST STE 100
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City | LUBBOCK
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State | TX
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Zip | 79424-9709
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Country | US
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Telephone | 806-370-3705
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Fax | 800-380-6717
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Provider Business Mailing Address
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Address Line | 3521 50TH ST # 1105
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City | LUBBOCK
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State | TX
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Zip | 79413-4003
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Country | US
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Telephone | 806-370-3705
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Fax | 800-380-6717
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Authorized Official
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Title or Position | PHYSICIAN ASSISTANT
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Name | JESSICA MILLER
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Credential | PA
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Telephone | 806-370-3705
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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