NORTHWEST TEXAS OMS PLLC NPI 1962156117

NPI Information

NPI: 1962156117
Provider Name: NORTHWEST TEXAS OMS, PLLC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3234 64TH ST STE B
LUBBOCK, TX
ZIP 79413
Phone: (806) 722-3637
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NORTHWEST TEXAS OMS, PLLC is a dental clinic center in Lubbock, TX. NORTHWEST TEXAS OMS, PLLC NPI is 1962156117. The provider is registered as an organization entity type.

The provider's business location address is:

3234 64TH ST STE B
LUBBOCK, TX
ZIP 79413-761
Phone: (806) 722-3637
Fax: (806) 722-3638

The provider's authorized official is Justin Bonner .
The authorized official title is Managing Member and has the following contact phone number (806) 282-5442.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 2/7/2022.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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