ALLAN CASTILLO CAMACHO (NPI# 1114153103) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114153103 |
| Entity Type | Individual |
| Full Name | ALLAN CASTILLO CAMACHO |
| Credential | M.D. |
| Practice Address |
5424 19th St Suite 200 Lubbock TX 79407-2162 |
| Mailing Address |
1313 Broadway Suite 5 Lubbock TX 79401-3277 |
| Practice Telephone | 8067224453 |
| Practice Fax Number | 8067224461 |
| Mailing Telephone | 8067652611 |
| Mailing Fax Number | 8067652604 |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2012-11-20 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | P3297 | TX | Allopathic & Osteopathic Physicians |
| Street Address |
5424 19TH ST SUITE 200 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2162 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467599613 | Robert J Mamlok | Specialist | 5424 19th St, Suite #300, Lubbock, TX 79407-2162 | 2007-01-30 |
| 1427417633 | Cristan Ledbetter | Nurse Practitioner | 5424 19th St, Suite 200, Lubbock, TX 79407-2162 | 2016-02-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
| 1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
| 1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
| 1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
| 1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
| 1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
| 1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
| 1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
| Find all providers in zip 79407 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932697604 | Lone Star Mobile Med | Family Medicine | 5504 Wayne Ave Ste 105, Lubbock, TX 79414 | 2018-04-27 |
| 1699283960 | Rhonda Lynn Romero | Family Medicine | 5519 104th St, Lubbock, TX 79424-8265 | 2018-01-19 |
| 1033645296 | Ryan Daniel Lurtsema | Family Medicine | 3601 4th Street Mail Stop 9901, Lubbock, TX 79430-0002 | 2017-05-10 |
| 1285081216 | Bobby R Patterson | Family Medicine | Ttuhsc Dept of Family & Community Medicine, 3601 4th St, Stop 8143, Lubbock, TX 79430-0001 | 2016-05-19 |
| 1851785000 | Jessica Lee Gray | Family Medicine | 4004 82nd St Ste F, Lubbock, TX 79423-2065 | 2015-03-26 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1114276276 | Marie D Percy Md Pa | Family Medicine | 4210 50th St, Suite D, Lubbock, TX 79413-3863 | 2012-09-05 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| 1154688778 | Charla Beth Allen | Family Medicine | 3601 4th St Stop 9901, Lubbock, TX 79430-9901 | 2012-04-19 |
| 1962769588 | Amy Richelle Sikes | Family Medicine | Department of Family and Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430-0001 | 2012-04-19 |
| Find all providers in LUBBOCK | ||||
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| 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.