SearchTexas2255A2300X

Sandra Black, ATC

NPI 1851514533 · on the registry since 2007 · sole proprietor

Practice

Address
8217 Avenue U Apt 4208
Lubbock, TX 79423
Phone
(619) 417-3179

Registry record

Primary taxonomy
2255A2300X
2255A2300X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2007-07-08

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