NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1134200991 | BALCH | JACQUALINE | RAE |   | 6104 AVENUE Q SOUTH DR | LUBBOCK | TX | 794123700 |
1649351057 | LUCKSTEAD | EUGENE | FREDDIE |   | 6104 AVENUE Q SOUTH DR | LUBBOCK | TX | 794123700 |
1316979438 | STRANGE | DAVID | LOWRIE |   | 6104 AVE Q SOUTH DRIVE | LUBBOCK | TX | 79412 |
1578712196 | TRAVIS | MICHAEL |   |   | 6104 AVENUE Q SOUTH DR | LUBBOCK | TX | 794123700 |