Dubose, Clifton Edwin

Dubose, Clifton Edwin is an sole proprietor health care provider with primary practice located at 3420 22Nd Place , Lubbock TX 79410. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Dubose, Clifton Edwin can be contacted via phone (806) 725-1800.

Contact Information

Primary practice address
3420 22Nd Place Lubbock TX 79410
Fax: (806) 723-6532
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X F6587 Texas

Profile Details

NPI number 1457314155
LBN Legal business name Dubose, Clifton Edwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2006
Last updated Oct 26th, 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 1457314155 NPPES
Texas MEDICAID 098412203

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