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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376955435 | NPPES |
| Texas | MEDICAID | 401724601 | |
| Texas | Other | 8LL786 | |
| Texas | MEDICAID | 35889721 | |
| Texas | Other | 846841 |
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