Monja L Proctor in Lubbock - Pediatric Surgery
Monja L Proctor - NPI 1023192747
Monja L Proctor is a Pediatric Surgery in Lubbock, Texas. Monja L Proctor practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Monja L Proctor is 1023192747. The last update date is 2020-08-03.
Monja L Proctor's current location address is 2215 Nashville Ave, Lubbock, Texas. You can contact this provider via phone number 8067255844 and fax number 8067236532. The mailing address for Monja L Proctor is 2215 Nashville Ave, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Monja L Proctor |
|---|---|
| Address | 2215 Nashville Ave, Lubbock, Texas |
| Phone Number | 8067255844 |
| Fax Number | 8067236532 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1023192747 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2020-08-03 |
Provider Mailing Address Detail
| Address | 2215 Nashville Ave |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101105 |
| Phone Number | 8067255844 |
| Fax Number | 8067236532 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | MD00041914 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 8369837 | WA | -- | |
| 1E9888 | TX | MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Monja L Proctor by the Centers for Medicare & Medicaid Services?
The Monja L Proctor has been assigned the NPI (National Provider Identifier) 1023192747 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Monja L Proctor is physically located?
The Monja L Proctor is physically situated at the following address: 2215 Nashville Ave, Lubbock, TX, 794101105.
What is Monja L Proctor's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Monja L Proctor is Pediatric Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0120X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1023192747 to Monja L Proctor?
The Centers for Medicare & Medicaid Services originally issued the 1023192747 to Monja L Proctor on 2006-10-25.
As of what date were the details pertaining to Monja L Proctor last refreshed?
The information related to the Monja L Proctor, including its address, specialty, and other relevant details, was last updated on 2020-08-03.