Cordova Bay Llc

Specialty details in registry · Lubbock, TX

Call (806) 712-1110 Directions

At a glance

10207 Indiana Ave, Lubbock, TX 79423-4909

NPPES record updated Dec 18, 2019. Public records can lag behind changes at a practice.

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Practice location

10207 Indiana Ave
Lubbock, TX 79423-4909

Professional details: NPI, taxonomy & registry record

NPI1760639785

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251E00000X
Enumeration date: Aug 20, 2008
Record updated: Dec 18, 2019

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10207 Indiana Ave
Lubbock, TX 79423-4909

Phone: (806) 712-1110

Mailing address

2411 SPRINGER DR

NORMAN, OK 730693955

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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