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General NPI Number Information
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NPI Number | 1376158121
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Entity Type | Organization
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Legal Business Name | WEST TEXAS HAND PLLC
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 01/11/2022
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Provider Practice Location Address
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Address Line | 5613 114TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-515-4263
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Fax | 806-698-6772
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Provider Business Mailing Address
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Address Line | 5613 114TH ST
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City | LUBBOCK
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State | TX
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Zip | 79424
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Country | US
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Telephone | 806-515-4263
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Fax | 806-698-6772
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Authorized Official
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Title or Position | OWNER
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Name | DR. DESIRAE MCKEE
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Credential | MD
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Telephone | 602-677-8320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0105X
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Taxonomy Name | Surgery of the Hand (Surgery) Physician
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License Number |
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License Number State |
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