BRYAN CORLEY MOFFITT L.P.C. NPI 1548356181

NPI Information

NPI: 1548356181
Provider Name: BRYAN CORLEY MOFFITT, L.P.C.
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
5701 AVENUE P
LUBBOCK, TX
ZIP 79412
Phone: (806) 747-3488
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Bryan Corley Moffitt, L.P.C. is a professional counselor in Lubbock, TX. Bryan Corley Moffitt, L.P.C. NPI is 1548356181. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5701 AVENUE P
LUBBOCK, TX
ZIP 79412-674
Phone: (806) 747-3488
Fax: (806) 747-3219

The enumeration date for this NPI number is 10/4/2006 and was last updated on 10/8/2012.

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	101YP2500X	Counselor	Professional	12735	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	22100	OTHER	TEXAS	FIRSTCARE COMMERCIAL
2	207800	OTHER	TEXAS	COMPSYCH EAP
3	152320101	MEDICAID	TEXAS
4	022779	OTHER	TEXAS	VMC EAP
5	83479L	OTHER	TEXAS	BCBS 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: 4/28/2024

NPI Synchronization or Removal

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