Brothers, Jorge R

Brothers, Jorge R is an individual health care provider with primary practice located at 418 N Utica Ave , Lubbock TX 79416-3035. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Brothers, Jorge R can be contacted via phone (806) 771-5882.

Contact Information

Primary practice address
418 N Utica Ave Lubbock TX 79416-3035
Phone: (806) 771-5882
Fax: (806) 687-9002
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X H1048 Texas

Profile Details

NPI number 1841232923
LBN Legal business name Brothers, Jorge R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated May 7th, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1841232923 NPPES
New Mexico MEDICAID 000V8925
New Mexico MEDICAID 115761207
New Mexico Other 8W8990

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