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Contact Information

ETHAN B DALLEY, MD
3419 22ND ST
LUBBOCK, TX79410
 Phone: 806-796-3000
 Fax: 806-796-3006
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pain Medicine

2081P2900X 25 Physician/Physical Medicine and Rehabilitation
Indicates primary specialty

NPI Profile & details for ETHAN B DALLEY · (Male)

NPI # 1780818112
Status Active
Credentials MD
Entity Individual
Enumeration date 05/13/2009
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • TX License # P9063
Hospital affiliation(s)
  • COVENANT MEDICAL CENTER - (Acute Care)
    3615 19TH STREET
    LUBBOCK, TX 79410
  • PLAINS REGIONAL MEDICAL CENTER CLOVIS - (Acute Care)
    2100 N MARTIN LUTHER KING, JR, BLVD
    CLOVIS, NM 88101
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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