CSK MEDICAL PARTNERS NPI 1902842404

NPI Information

  • NPI: 1902842404
  • Provider Name: CSK MEDICAL PARTNERS
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Doing Business As: LUBBOCK SPORTS MEDICINE ASSOCIATES
  • CLIA Number: 45D1028036
  • Address: 4110 22ND PL
    LUBBOCK, TX
    ZIP 79410
  • Phone: (806) 792-4329

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NPI Details

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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 Identifier Other Provider Identifier Type Other Provider Identifier State Other 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: 11/21/2025

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