Most Relevant Information
Provider Data
| NPI Number: | 1003535733 |
| Provider Name: | CASSIDY COLTRAIN |
| Entity Type: | Individual |
| Taxonomy Code: | 367H00000X |
| Specialty: | Anesthesiologist Assistant |
| License Number: | 32698256 |
Most Important Dates
| Enumeration Date: | 08/25/2022 |
| Last Updated: | 10/07/2022 |
Provider Practice Location
3601 4TH ST STOP 8182
LUBBOCK
TX
794308182
Practice Location Phone/Fax
| Phone: | 8067432981 |
| Fax: |
Provider Mailing Location
PO BOX 764
MEAD
CO
805420764
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |