Provider Demographics
NPI:1508038332
Name:MINNS, ERIC CHRISTOPHER (MD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:CHRISTOPHER
Last Name:MINNS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3519 22ND PL
Mailing Address - Street 2:SUITE B
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410-1315
Mailing Address - Country:US
Mailing Address - Phone:806-368-3632
Mailing Address - Fax:806-368-3543
Practice Address - Street 1:10202 QUAKER AVE
Practice Address - Street 2:#100
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424
Practice Address - Country:US
Practice Address - Phone:806-368-3632
Practice Address - Fax:806-368-3543
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-01
Last Update Date:2016-01-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD431832208600000X
TXN45922086S0122X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0122XAllopathic & Osteopathic PhysiciansSurgeryPlastic and Reconstructive Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery