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CSK MEDICAL PARTNERS NPI 1902842404


NPI Information

NPI: 1902842404
Provider Name: CSK MEDICAL PARTNERS

Doing Business As: LUBBOCK SPORTS MEDICINE ASSOCIATES

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 45D1028036

Address:
4110 22ND PL
LUBBOCK, TX
ZIP 79410
Phone: (806) 792-4329
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CSK MEDICAL PARTNERS is a specialist in Lubbock, TX. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. CSK MEDICAL PARTNERS NPI is 1902842404. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Lubbock Sports Medicine Associates.

The provider's business location address is:

4110 22ND PL
LUBBOCK, TX
ZIP 79410-122
Phone: (806) 792-4329
Fax: (806) 792-9466

The provider's authorized official is Robert Thomas Hendricks .
The authorized official title is Administrator and has the following contact phone number (806) 792-4329.

The CLIA number assigned to this NPI record is 45D1028036 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/22/2006 and was last updated on 6/28/2012.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialistYes

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
100K865MEDICARE OSCAR/CERTIFICATION
20472270001MEDICARE NSCTEXAS
30472270001OTHERDMERC
4611517MEDICARE OSCAR/CERTIFICATION
500657YMEDICARE PINTEXAS
600657YMEDICARE PIN
70080EHOTHERBLUE CROSS/BLUE SHIELD OF TEXAS
800657YMEDICARE OSCAR/CERTIFICATION
900JY32MEDICARE OSCAR/CERTIFICATION
100062BUMEDICARE OSCAR/CERTIFICATION
1100K865MEDICARE PINTEXAS

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.