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Jordan Derrick
NPI 1013457373 · on the registry since 2017 · sole proprietor
Practice
- Address
- 6312 73rd St
Apt 1510
Lubbock, TX 79424 - Phone
- (940) 597-4010
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 2255A2300X
2255A2300X
- Sex
- Male
- Record last updated
- 2017-03-06
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas