Most Relevant Information
Provider Data
| NPI Number: | 1003306812 |
| Provider Name: | TABITHA THREATT MD |
| Entity Type: | Individual |
| Taxonomy Code: | 2086S0102X |
| Specialty: | Surgery |
| License Number: | U9095 |
Most Important Dates
| Enumeration Date: | 05/16/2018 |
| Last Updated: | 07/23/2024 |
Provider Practice Location
602 INDIANA AVE
LUBBOCK
TX
794153364
Practice Location Phone/Fax
| Phone: | 8067432373 |
| Fax: | 8067434354 |
Provider Mailing Location
7703 FLOYD CURL DRIVE
MAIL CODE 7742
SAN ANTONIO
TX
782295544
Provider Mailing Phone/Fax
| Phone: | 2105675711 |
| Fax: |