Qubty, Johnny A

Qubty, Johnny A is an sole proprietor health care provider with primary practice located at 3601 21St St Suite 3-A, Lubbock TX 79410-1229. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Qubty, Johnny A can be contacted via phone (806) 771-7877.

Contact Information

Primary practice address
3601 21St St Suite 3-A Lubbock TX 79410-1229
Fax: (806) 771-7474
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X H2703 Texas

Profile Details

NPI number 1184695538
LBN Legal business name Qubty, Johnny A
Credentials MEDICAL DOCTOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 1st, 2006
Last updated Nov 15th, 2007 - about 17 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 1184695538 NPPES
Texas Other 0070LP BLUE CROSS BLUE SHIELD
Texas MEDICAID 130361208 BLUE CROSS BLUE SHIELD
Texas Other 050018039 BLUE CROSS BLUE SHIELD

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