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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK NPI 1083663363


NPI Information

NPI: 1083663363
Provider Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
3601 4TH ST
ROOM 1C143
LUBBOCK, TX
ZIP 79430
Phone: (806) 743-2757
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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK is a family medicine in Lubbock, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK NPI is 1083663363. The provider is registered as an organization entity type.

The provider's business location address is:

3601 4TH ST
ROOM 1C143
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-2757
Fax: (806) 743-2563

The provider's authorized official is Brent Magers .
The authorized official title is Assistant Dean Finance Admin and has the following contact phone number (806) 743-1830.

The enumeration date for this NPI number is 5/6/2006 and was last updated on 3/7/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QM1300XClinic/CenterMulti-SpecialtyNo
2207Q00000XFamily MedicineYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100QQ95OTHERTEXASBC/BS
2084599202MEDICAIDTEXAS
3140327130MEDICAIDTEXAS
4084599203MEDICAIDTEXAS
5084599204MEDICAIDTEXAS
6CD9207OTHERTEXASRAILROAD MEDICARE
7G1217MEDICAIDNEW MEXICO

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

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