Axelrud, Gabriel

Axelrud, Gabriel is an individual health care provider with primary practice located at 4101 22Nd Pl , Lubbock TX 79410. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Axelrud, Gabriel can be contacted via phone (806) 725-8000.

Contact Information

Primary practice address
4101 22Nd Pl Lubbock TX 79410
Phone: (806) 725-8000
Fax: (806) 723-6031
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TRN20336 Florida
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X S1555 Texas

Profile Details

NPI number 1376955435
LBN Legal business name Axelrud, Gabriel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2014
Last updated Sep 15th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1376955435 NPPES
Texas MEDICAID 401724601
Texas Other 8LL786
Texas MEDICAID 35889721
Texas Other 846841

Popular Providers