NPI 1336778711
Ephraim Joseph Anderson
Practice location
- Address
- 3615 19th St, Lubbock, TX 79410-1203
- Phone
- (806) 725-0000
- Mailing address
- 512 N Evanston Ave APT 1, Lubbock, TX 79416-3917
Registered specialties
Religious Nonmedical Practitioner
Primary
Registry record
- NPI
- 1336778711
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 7 Apr 2020
- Record last updated
- 7 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.