TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK


Address: 3601 4th St, Ste 1b350k, Lubbock, TX 79430-0002
Phone: 8067437246

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK (NPI# 1184673469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184673469
Entity Type Organization
Organization Name TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Other Organization Name TTUHSC - CRNA
Practice Address 3601 4th St
Ste 1b350k
Lubbock
TX 79430-0002
Mailing Address Po Box 5865
Lubbock
TX 79408-5865
Practice Telephone 8067437246
Practice Fax Number 8067437235
Mailing Telephone 8067432898
Mailing Fax Number 8067432787
Enumeration Date 2006-05-06
Last Update Date 2013-08-28
Authorized Official Name BRENT MAJORS (ASSISTANT DEAN FINANCE ADMIN)
Authorized Official Telephone 8067431830
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 367500000X Nurse Anesthetist, Certified Registered Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
TX 137910910 05
NM G1217 05
TX BC/BS 00C73N 01
TX 137910913 05

Other Provider/Organization Names

Other Name Type Code
TTUHSC - CRNA Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1861904898 Texas Tech University Health Sciences Center Lubbock Durable Medical Equipment & Medical Supplies 808 Joliet Ave Unit 210, Lubbock, TX 79415-1158 2017-10-31
1164979142 Texas Tech University Health Sciences Center Lubbock Psychiatry & Neurology 1008 Canton Ave, Room 018bf, Lubbock, TX 79409-3132 2016-09-07
1972801223 Texas Tech University Health Sciences Center Lubbock Optometrist 4004 82nd St Bldg 200, Lubbock, TX 79423-1900 2011-03-10
1245289537 Texas Tech University Health Sciences Center Lubbock Orthopaedic Surgery 3601 4th St Fl 4, Lubbock, TX 79430 2006-05-06
1528621240 Texas Tech University Health Sciences Center Lubbock Counselor 3601 4th St, Suite 3b302, Lubbock, TX 79430-6225 2019-04-18
1932611969 Texas Tech University Health Sciences Center Lubbock Durable Medical Equipment & Medical Supplies 4102 24th St Ste 507, Lubbock, TX 79410-1805 2017-10-31
1336369669 Texas Tech University Health Sciences Center Lubbock Clinic/Center 3601 4th St, Lubbock, TX 79430-0002 2007-04-27
1053458026 Texas Tech University Health Sciences Center Lubbock Clinic/Center 3601 4th St, Ste 2a100, Lubbock, TX 79430-0002 2007-01-31
1538239769 Texas Tech University Health Sciences Center Lubbock Clinic/Center 3601 4th St, Lubbock, TX 79430-0002 2006-11-08
1548219827 Texas Tech University Health Sciences Center Lubbock Clinic/Center 3601 4th St, Ste 4a100, Lubbock, TX 79430-0002 2006-05-06

Office Location

Street Address 3601 4TH ST
STE 1B350K
City LUBBOCK
State TX
Zip Code 79430-0002

Providers in the same location

NPI Name Taxonomy Address Enumeration
1073516993 Viviane Mamlok Pathology 3601 4th St, 1a115, Lubbock, TX 79430-0002 2005-05-24
1104436252 Kanak N/a Parmar Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-08-04
1407465115 Donald Wayne King Jr. Nurse Anesthetist, Certified Registered 3601 4th St, Lubbock, TX 79430-0002 2020-07-28
1588288674 Hillary Powers Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-03
1215551692 Amanda R Edinger Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-02
1487278966 Daniel Elling Brown Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-6211 2020-06-01
1588288013 Fabiana Monte Alegre Olmos Fernandez Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-01
1154945574 Alex Wilkins Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-01
1720602253 Amanda Lee Huggett Student in an Organized Health Care Education/Training Program 3601 4th St, Lubbock, TX 79430-0002 2020-06-01
1609490192 Zeyad Saeed Amr Elharabi Student in an Organized Health Care Education/Training Program 3601 4th St, Department of Internal Medicine, Lubbock, TX 79430-0002 2020-06-01
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1730702473 Emily Bouffard Student in an Organized Health Care Education/Training Program 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 2020-05-27
1891350310 Erin Leigh Burton Student in an Organized Health Care Education/Training Program 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 2019-05-09
1851861439 Zachery Brian Sneed Counselor 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 2018-11-27
1831683481 Swagat Parajulee Student in an Organized Health Care Education/Training Program 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 2018-06-18
1649711904 William David Boothe Jr. Dermatology 3601 4th St Stop 6211, Lubbock, TX 79430 2017-03-19
1982144945 Kazutaka Araki Specialist/Technologist 3601, 4th St, Lubbock, TX 79430 2017-02-24
1659725125 Thomas Gregory Wyatt Student in an Organized Health Care Education/Training Program 3601 4th St Rm 3a122b, Lubbock, TX 79430 2016-04-20
1619391760 Chinyere Mbagwu General Practice 3601 4th St # Ms 8143, Lubbock, TX 79430 2014-02-10
1982044111 Eileen Mary Sprys Family Medicine 3601 4th St., Stop 8143, Lubbock, TX 79430 2013-07-02
1205196243 Hilmi Alam Family Medicine Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 2012-05-24
Find all providers in zip 79430

Taxonomy Information

Taxonomy Code 367500000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Anesthetist, Certified Registered

Taxonomy Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1013489764 Nzonguti Ekangaki Nurse Anesthetist, Certified Registered 3601 4th St Ste 1b350s, Lubbock, TX 79430-0002 2018-12-19
1154838241 Tracy Danielle Mill Nurse Anesthetist, Certified Registered 3601 4th Street Suite 1b350s, Lubbock, TX 79430-0001 2018-01-10
1982149076 Elliot Michel Nurse Anesthetist, Certified Registered 3601 4th St # 1b350s, Lubbock, TX 79430-0002 2016-12-27
1023377207 Joshua Kain Jones Nurse Anesthetist, Certified Registered 5602 Geneva Ave, Lubbock, TX 79413-4824 2012-05-09
1336408681 Stephen Creighton Ray Nurse Anesthetist, Certified Registered 2400 Glenna Goodacre Blvd Apt 4326, Lubbock, TX 79401-2280 2012-05-07
1952606667 David Irvin Nurse Anesthetist, Certified Registered 3610 22nd St, Lubbock, TX 79410-1350 2011-01-12
1023313673 Mayme Alicia Matthews Nurse Anesthetist, Certified Registered Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430-0001 2011-01-12
1992941082 Keila H Townson Nurse Anesthetist, Certified Registered 5020 Auburn St, Apt 1012, Lubbock, TX 79416 2008-12-19
1972548428 Isagani L. Saculo Nurse Anesthetist, Certified Registered 4315 28th St Suite 2, Suite 1c282, Lubbock, TX 79410-2507 2006-06-18
Find all providers in LUBBOCK

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City LUBBOCK
Zip Code 79430

Improve Information

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Dataset Information

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.

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