MONJA L PROCTOR MD NPI 1023192747

NPI Information

NPI: 1023192747
Provider Name: MONJA L PROCTOR, MD
Classification: Surgery - 2086S0120X
Entity Type: Individual

Specialization: Pediatric Surgery

PECOS Registration: Yes

Address:
4102 22ND PL
LUBBOCK, TX
ZIP 79410
Phone: (806) 725-0237
Get Directions

Monja L Proctor, MD is a pediatric surgery surgery in Lubbock, TX. The provider is a surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. Monja L Proctor, MD NPI is 1023192747. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4102 22ND PL
LUBBOCK, TX
ZIP 79410-122
Phone: (806) 725-0237
Fax: (806) 725-1030

The NPI 1023192747 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/25/2006 and was last updated on 8/3/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2086S0120X	Surgery	Pediatric Surgery	J7836	TEXAS	Yes
2	2086S0120X	Surgery	Pediatric Surgery	PT13389	NORTH DAKOTA	No
3	2086S0120X	Surgery	Pediatric Surgery	MD00041914	WASHINGTON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1E9888	OTHER	TEXAS	MEDICARE
2	8369837	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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