COVENANT MEDICAL GROUP NPI 1417381187

NPI Information

COVENANT MEDICAL GROUP is an urgent care clinic center in Lubbock, TX. COVENANT MEDICAL GROUP NPI is 1417381187. The provider is registered as an organization entity type.
The provider Is Doing Business As Covenant Medical Group Urgent Care.

The provider's business location address is:

1910 QUAKER AVENUE
SUITE 101
LUBBOCK, TX
ZIP 79407
Phone: (806) 725-4440
Fax: (806) 725-4441

The provider's authorized official is Kristen Kothmann .
The authorized official title is Vice President/coo and has the following contact phone number (806) 725-7800.

The CLIA number assigned to this NPI record is 45D2167718 - physician office with a certificate type of Certificate of Registration.

The enumeration date for this NPI number is 8/29/2013 and was last updated on 8/29/2013.

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:

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