Maddoux, Gerry L

Maddoux, Gerry L is an individual health care provider with primary practice located at 3710 21St St , Lubbock TX 79410-1220. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Maddoux, Gerry L can be contacted via phone (806) 780-8003.

Contact Information

Primary practice address
3710 21St St Lubbock TX 79410-1220
Phone: (806) 780-8003
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X J0992 Texas

Profile Details

NPI number 1518961291
LBN Legal business name Maddoux, Gerry L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 19 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

Popular Providers