PEDIATRIC AND ADOLESCENT CLINIC OF WEST TEXAS, P.A. (NPI# 1255573465) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255573465 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC AND ADOLESCENT CLINIC OF WEST TEXAS, P.A. |
| Other Organization Name | LEOPOLDO CABRERA |
| Practice Address |
542419th St Ste 200 Lubbock TX 79407-2106 |
| Mailing Address |
Po Box 16367 Lubbock TX 79490-6367 |
| Practice Telephone | 8067224453 |
| Practice Fax Number | 8067224461 |
| Mailing Telephone | 8067224453 |
| Mailing Fax Number | 8067224461 |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2010-01-19 |
| Authorized Official Name | DR. LEOPOLDO A CABRERA (PRESIDENT) |
| Authorized Official Telephone | 8067224453 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 122410706 | 05 |
| Other Name | Type Code |
|---|---|
| LEOPOLDO CABRERA | Other Name - Individual/Organization |
| Street Address |
542419TH ST STE 200 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79407-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033198585 | Leopoldo Amansec Cabrera | Pediatrics | 542419th St, Ste 200, Lubbock, TX 79407-2106 | 2006-01-12 |
| 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 | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285127092 | Melissa Wotring-norman, Md, Pllc | Clinic/Center | 3801 21st St, Lubbock, TX 79410 | 2018-06-07 |
| 1184954182 | Ashok R. Parmar M D Pa | Clinic/Center | 3225 50th St, A3, Lubbock, TX 79413-4118 | 2010-01-14 |
| 1043358336 | Holly S. Stewart, Md Pa | Clinic/Center | 3502 9th St, Suite 360, Lubbock, TX 79415-3300 | 2007-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194323568 | Synergenx Health - Webster LLC | Clinic/Center | 19325 Gulf Fwy Ste 120, Webster, TX 77598-2812 | 2020-10-16 |
| 1821696253 | Bio Drip, LLC | Clinic/Center | 935 Sunland Park Dr Ste 103, El Paso, TX 79922-1369 | 2020-10-16 |
| 1821696386 | Blue Ocean Health Services LLC | Clinic/Center | 105 Clariden Ranch Rd, Southlake, TX 76092-1947 | 2020-10-15 |
| 1982202800 | Devoted Medical Group of Texas, Inc. | Clinic/Center | 20405 State Highway 249 Ste 325, Houston, TX 77070-2893 | 2020-10-13 |
| 1891392437 | Blum Health Pllc | Clinic/Center | 1387 George Dieter Dr Ste 106d, El Paso, TX 79936-7410 | 2020-10-06 |
| 1902403769 | Apogee Health Promotions | Clinic/Center | 105 Cottage Rd # B, Carthage, TX 75633-1507 | 2020-10-05 |
| 1447857255 | Fairgrounds Family Clinic Pllc | Clinic/Center | 4505 Hummingbird Ln N, Harlingen, TX 78552-2422 | 2020-10-05 |
| 1508463605 | Kk Martinez & Associates LLC | Clinic/Center | 13180 Fm 529 Rd Ste A, Houston, TX 77041-2652 | 2020-10-02 |
| 1659987022 | Specialists In Geriatric and Palliative Care Medicine Pllc | Clinic/Center | 8198 Walnut Hill Lane, Jackson Bldg, Suite 100, Dallas, TX 75231 | 2020-09-21 |
| 1518573443 | Elizabeth Danielle Benavides | Clinic/Center | 1424 Tanager Ct, San Antonio, TX 78260-2455 | 2020-09-16 |
| Find all providers with the same taxonomy | ||||
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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.