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Contact Information

JEFFREY S BRACKEEN, MD
4709 66TH ST
LUBBOCK, TX79414-4877
 Phone: 806-791-5844
 Fax: 806-701-5845
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

MOHS-Micrographic Surgery

207ND0101X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for JEFFREY S BRACKEEN · (Male)

NPI Number 1922290592
Status Active
Credentials MD
Entity Individual
Enumeration date 08/16/2007
Last updated 05/21/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • TX License # L2818
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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