Grant Stovall is a Sports in Lubbock, Texas. Grant Stovall practices all healthcare services and medical treatments related to Sports. The NPI Number for Grant Stovall is 1528031093. The last update date is 2011-11-22.
Grant Stovall's current location address is Lubbock Sports Medicine Associates, Lubbock, Texas. You can contact this provider via phone number 8067924329. The mailing address for Grant Stovall is Lubbock Sports Medicine Associates, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grant Stovall |
|---|---|
| Address | Lubbock Sports Medicine Associates, Lubbock, Texas |
| Phone Number | 8067924329 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | ATC |
NPI Number Detail
| NPI Number | 1528031093 |
|---|---|
| Provider Enumeration Date | 2006-02-07 |
| Last Updated Date | 2011-11-22 |
Provider Mailing Address Detail
| Address | Lubbock Sports Medicine Associates |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 79410 |
| Phone Number | 8067924329 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports |
|---|---|
| Taxonomy | 2251S0007X |
| Licence No | 1123412 |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, patholog |
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What is the unique 10-digit identification code assigned to Grant Stovall by the Centers for Medicare & Medicaid Services?
The Grant Stovall has been issued the NPI (National Provider Identifier) 1528031093, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Grant Stovall is located?
The Grant Stovall is situated at the following address: Lubbock Sports Medicine Associates, Lubbock, TX, 79410.
What is Grant Stovall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Grant Stovall is Sports, and the taxonomy code that classifies this field of practice is 2251S0007X.
On what date did the Centers for Medicare & Medicaid Services issue the 1528031093 to Grant Stovall?
The Grant Stovall received its 1528031093 assignment from the Centers for Medicare & Medicaid Services on 2006-02-07.
As of what date was the information regarding Grant Stovall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Grant Stovall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2011-11-22.
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