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LUBBOCK CARDIOLOGY CLINIC PA NPI 1972607034


NPI Information

NPI: 1972607034
Provider Name: LUBBOCK CARDIOLOGY CLINIC, PA
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
3819 24TH ST
LUBBOCK, TX
ZIP 79410
Phone: (806) 797-7000
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LUBBOCK CARDIOLOGY CLINIC, PA is a cardiovascular disease internal medicine in Lubbock, TX. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. LUBBOCK CARDIOLOGY CLINIC, PA NPI is 1972607034. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3819 24TH ST
LUBBOCK, TX
ZIP 79410-829
Phone: (806) 797-7000
Fax: (806) 797-7055

The provider's authorized official is Stephanie Wells .
The authorized official title is Office Manager and has the following contact phone number (806) 797-7002.

The enumeration date for this NPI number is 9/11/2006 and was last updated on 5/31/2011.


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
1207RC0001XInternal MedicineClinical Cardiac ElectrophysiologyNo
2207RI0011XInternal MedicineInterventional CardiologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1153423201MEDICAIDTEXAS
2C23333MEDICARE UPIN
300590TMEDICARE 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: 4/28/2024

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