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
Phone: (806) 725-1800
Fax: (806) 723-6532
Website:
Health care specialties
| Specialty | Code | License # | 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 13 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 | 1457314155 | NPPES |
| Texas | MEDICAID | 098412203 |
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