HEALTHTEXAS PROVIDER NETWORK-TRANSPLANT SERVICES, LLP (NPI# 1093058380) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093058380 |
| Entity Type | Organization |
| Organization Name | HEALTHTEXAS PROVIDER NETWORK-TRANSPLANT SERVICES, LLP |
| Practice Address |
3611 22nd Pl Lubbock TX 79410-1317 |
| Mailing Address |
8080 N Central Expy Suite 600, Lb 82 Dallas TX 75206-1838 |
| Practice Telephone | 2148202050 |
| Practice Fax Number | 2148204527 |
| Mailing Telephone | 9728608648 |
| Mailing Fax Number | 9728608679 |
| Enumeration Date | 2013-04-04 |
| Last Update Date | 2013-04-04 |
| Authorized Official Name | ELLEN E FOURTON (VICE PRESIDENT) |
| Authorized Official Telephone | 9728608649 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208600000X | Surgery | Allopathic & Osteopathic Physicians | ||
| Y | 204F00000X | Transplant Surgery | Allopathic & Osteopathic Physicians |
| Street Address |
3611 22ND PL |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386667632 | Derick Ray Haggard | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-26 |
| 1245446434 | Travis Daniel Eggl | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2007-05-15 |
| 1912035502 | Lubbock Surgical Associates, LLP | Specialist | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2007-03-02 |
| 1003830217 | Ted W Allen | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-27 |
| 1093729253 | Gerald Lynn Woolam | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-27 |
| 1588678726 | David Eugene Mangold | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-27 |
| 1912920141 | Sammy Dale Rivas | Surgery | 3611 22nd Pl, Lubbock, TX 79410-1317 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 204F00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Transplant Surgery |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1518273986 | Ashraf Ibrahim Reyad | Transplant Surgery | 909 9th Ave Ste 201, Fort Worth, TX 76104-3916 | 2010-08-24 |
| 1326372418 | Karoly Varga | Transplant Surgery | 5615 Twin Rivers Ct, Sugar Land, TX 77479-7133 | 2009-09-23 |
| 1922252717 | Methodist Physician Practices, Pllc | Transplant Surgery | 15727 Anthem Pkwy Ste 600, San Antonio, TX 78249-4158 | 2008-11-06 |
| 1043462609 | Aldo Elmer Rafael Yarihuaman | Transplant Surgery | 621 N Hall St Ste 120, Dallas, TX 75226-1307 | 2008-10-15 |
| 1235393208 | Tiffany L Anthony | Transplant Surgery | 7777 Forest Ln Ste B446, Dallas, TX 75230 | 2008-07-17 |
| 1023208949 | Govardhana Rao Yannam | Transplant Surgery | 2060 Space Park Dr Ste 100, Houston, TX 77058-3674 | 2007-07-26 |
| 1124240890 | Mourad Mousa Alsabbagh | Transplant Surgery | 1100 E Dove Ave Ste 200, Mcallen, TX 78504-4681 | 2007-05-03 |
| 1699805911 | Steven I. Hanish | Transplant Surgery | 5939 Harry Hines Blvd Ste 700, Dallas, TX 75235-6243 | 2007-03-06 |
| 1295889202 | Sameh Fayek | Transplant Surgery | 909 9th Ave Ste 402, Fort Worth, TX 76104-3932 | 2007-01-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEALTHTEXAS PROVIDER NETWORK-TRANSPLANT SERVICES, LLP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.