David Keith Hagstrom in Lubbock - Interventional Pain Medicine
David Keith Hagstrom - NPI 1154493997
David Keith Hagstrom is a Interventional Pain Medicine in Lubbock, Texas. David Keith Hagstrom practices all healthcare services and medical treatments related to Interventional Pain Medicine. The NPI Number for David Keith Hagstrom is 1154493997. The last update date is 2021-12-01.
David Keith Hagstrom's current location address is 3505 22nd Pl, Lubbock, Texas. You can contact this provider via phone number 8067855700 and fax number 8067856768. The mailing address for David Keith Hagstrom is 3505 22nd Pl, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Keith Hagstrom |
|---|---|
| Address | 3505 22nd Pl, Lubbock, Texas |
| Phone Number | 8067855700 |
| Fax Number | 8067856768 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1154493997 |
|---|---|
| Provider Enumeration Date | 2006-11-15 |
| Last Updated Date | 2021-12-01 |
Provider Mailing Address Detail
| Address | 3505 22nd Pl |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101315 |
| Phone Number | 8067855700 |
| Fax Number | 8067856768 |
Provider's Primary Taxonomy Detail
| Speciality | Interventional Pain Medicine |
|---|---|
| Taxonomy | 208Vp0014X |
| Licence No | H1967 |
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Definition: Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable p |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 128109901 | TX | -- | |
| 114307100 | FIRSTCARE |
Post Comment/ Review Below
What is the David Keith Hagstrom's 1154493997?
The David Keith Hagstrom's NPI (National Provider Identifier) Number is 1154493997. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where David Keith Hagstrom's facilities are situated?
The facilities of David Keith Hagstrom are physically located at the following address: 3505 22Nd Pl, Lubbock, TX, 794101315.
What is the David Keith Hagstrom's specialty and taxonomy code?
The David Keith Hagstrom's specialty is Interventional Pain Medicine, and the corresponding taxonomy code is 208Vp0014X.
When did the David Keith Hagstrom receive its 1154493997?
The David Keith Hagstrom was issued its 1154493997 on 2006-11-15, which is the date when the organization was assigned this unique identifier.
When was the David Keith Hagstrom's information last updated?
The David Keith Hagstrom's information was last updated on 2021-12-01.