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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK NPI 1548219827


NPI Information

NPI: 1548219827
Provider Name: TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK

Doing Business As: TTUHSC- DERMATOLOGY

Classification: Dermatology - 207N00000X
Entity Type: Organization
Address:
3601 4TH ST
STE 4A100
LUBBOCK, TX
ZIP 79430
Phone: (806) 743-1842
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TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK is a dermatology in Lubbock, TX. The provider is a dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK NPI is 1548219827. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ttuhsc- Dermatology.

The provider's business location address is:

3601 4TH ST
STE 4A100
LUBBOCK, TX
ZIP 79430-002
Phone: (806) 743-1842
Fax: (806) 743-1105

The provider's authorized official is Brent Majors .
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 1/11/2022.


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
1207ND0900XDermatologyDermatopathologyNo
2261QM1300XClinic/CenterMulti-SpecialtyNo
3207N00000XDermatologyYes

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
1G1217MEDICAIDNEW MEXICO
200QQ84OTHERTEXASBC/BS
3100708740AMEDICAIDOKLAHOMA
4CD9207OTHERTEXASRAILROAD MEDICARE
5084590101MEDICAIDTEXAS
6140327105MEDICAIDTEXAS

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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