LUBBOCK NEPHROLOGY ASSOCIATES P.A. NPI 1760681001

NPI Information

NPI: 1760681001
Provider Name: LUBBOCK NEPHROLOGY ASSOCIATES, P.A.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 45D1071323

Address:
3708 22ND PL
SUITE A
LUBBOCK, TX
ZIP 79410
Phone: (806) 771-7412
Get Directions

LUBBOCK NEPHROLOGY ASSOCIATES, P.A. is a nephrology internal medicine in Lubbock, TX. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. LUBBOCK NEPHROLOGY ASSOCIATES, P.A. NPI is 1760681001. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3708 22ND PL
SUITE A
LUBBOCK, TX
ZIP 79410-351
Phone: (806) 771-7412
Fax: (806) 771-7414

The provider's authorized official is Maybin Simfukwe .
The authorized official title is President and has the following contact phone number (806) 771-1386.

The CLIA number assigned to this NPI record is 45D1071323 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2007 and was last updated on 10/17/2012.

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	207R00000X	Internal Medicine		L7888	TEXAS	No
2	207RN0300X	Internal Medicine	Nephrology	L7888	TEXAS	Yes

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	191390701	MEDICAID	TEXAS
2	00Y302	MEDICARE PIN	TEXAS

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: 11/14/2023

NPI Synchronization or Removal

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