Stalcup, Obie Lee

Stalcup, Obie Lee is an individual health care provider with primary practice located at 4515 Marsha Sharp Fwy , Lubbock TX 79407-2520. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Stalcup, Obie Lee can be contacted via phone (806) 744-7223.

Contact Information

Primary practice address
4515 Marsha Sharp Fwy Lubbock TX 79407-2520
Phone: (806) 744-7223
Fax: (806) 740-3325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X D1064 Texas

Profile Details

NPI number 1184672289
LBN Legal business name Stalcup, Obie Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Dec 1st, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184672289 NPPES
Texas Other 5943079 AETNA
Texas MEDICAID 099733004 AETNA
Texas Other 124642101 AETNA
Texas Other 8V8699 AETNA
Texas Other P00333606 AETNA
Texas Other 124642101 AETNA

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