Provider Demographics
NPI:1356737472
Name:AFHCPH (1) LP
Entity type:Organization
Organization Name:AFHCPH (1) LP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FRED
Authorized Official - Middle Name:
Authorized Official - Last Name:MARGOLIN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:806-368-6757
Mailing Address - Street 1:1902 50TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79412-2706
Mailing Address - Country:US
Mailing Address - Phone:806-368-6757
Mailing Address - Fax:806-368-6168
Practice Address - Street 1:1902 50TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79412-2706
Practice Address - Country:US
Practice Address - Phone:806-368-6757
Practice Address - Fax:806-368-6168
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-15
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty