TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SON - LUBBOCK (NPI# 1609023191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609023191 |
| Entity Type | Organization |
| Organization Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SON - LUBBOCK |
| Practice Address |
301 40th St Lubbock TX 79404-2811 |
| Practice Telephone | 8067439355 |
| Practice Fax Number | 8067439364 |
| Mailing Telephone | 8067439355 |
| Mailing Fax Number | 8067439364 |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2019-10-23 |
| Authorized Official Name | SHELLY GRIFFIN (UNIT MANAGER) |
| Authorized Official Telephone | 8067439595 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 197095601 | 05 |
| Street Address |
301 40TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79404-2811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437122272 | Stacey L Slavik | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2811 | 2006-02-10 |
| 1568062602 | Alexandria Faubion | Dietitian, Registered | 301 40th St, Lubbock, TX 79404-2746 | 2020-10-28 |
| 1700407830 | Mary Annette Butler | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2020-04-29 |
| 1750932729 | Cody Joe Sliger | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2019-09-21 |
| 1386206977 | Karla Alexandra Cervantes | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2019-07-03 |
| 1740732825 | Roger Charles Williams Jr. | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2016-10-25 |
| 1134582810 | Rose Danielle Winter | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2016-03-31 |
| 1538528203 | Casey A Winslow | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2016-02-23 |
| 1528431566 | Audra Ann Molina | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2015-11-12 |
| 1073983193 | Dana Bell | Nurse Practitioner | 301 40th St, Lubbock, TX 79404-2746 | 2015-10-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447813597 | Tiffany N Coomer | Pharmacist | 8062 Peach St, Lubbock, TX 79404 | 2019-04-15 |
| 1174712756 | American Current Care, P.a. | Clinic/Center | 160 Slaton Road, Lubbock, TX 79404 | 2007-10-18 |
| 1104029875 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 160 Slaton Highway, Lubbock, TX 79404 | 2007-06-08 |
| 1356385504 | Warden Lamar Palmer | Nurse Practitioner | 1802 E 50th St, Suite 104, Lubbock, TX 79404 | 2006-06-16 |
| 1043272834 | Cherrylene A Lindgren | Family Medicine | 4105 I-27, Lubbock, TX 79404 | 2006-04-05 |
| 1528030087 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2301 Cedar Ave, Lubbock, TX 79404 | 2006-02-07 |
| 1871564708 | William Benjamin Edwards | Family Medicine | 1802 E 50th Street, Suite 104, Lubbock, TX 79404 | 2006-01-30 |
| 1932181971 | Nancy Valdez | Pediatrics | 307 54th St, Lubbock, TX 79404 | 2005-11-16 |
| 1326240250 | Lee Michael Cohen | Psychologist | 1950 Aspen, Lubbock, TX 79404 | 2007-06-04 |
| 1467532416 | Jason Bradley Lentz | Family Medicine | 4105 I-27, Lubbock, TX 79404 | 2006-10-16 |
| Find all providers in zip 79404 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831569540 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3502 9th St Ste 280, Lubbock, TX 79415 | 2015-10-07 |
| 1750702015 | Texas Tech University Health Sciences Center Son | Clinic/Center | 2424 50th St Rm 300, Lubbock, TX 79412-2561 | 2014-01-03 |
| 1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
| 1740551787 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2401 Fulton Ave Apt B, Lubbock, TX 79407-7727 | 2012-01-23 |
| 1831118306 | Community Health Center of Lubbock, Inc | Clinic/Center | 1826 Parkway Dr, Suite 500, Lubbock, TX 79403 | 2006-07-18 |
| 1912944059 | Community Health Center of Lubbock, Inc. | Clinic/Center | 3301 Clovis Road, Lubbock, TX 79415 | 2006-05-31 |
| 1891768321 | Community Health Center of Lubbock, Inc | Clinic/Center | 406 Mlk Blvd, Lubbock, TX 79403 | 2006-02-07 |
| 1528030087 | Community Health Center of Lubbock, Inc. | Clinic/Center | 2301 Cedar Ave, Lubbock, TX 79404 | 2006-02-07 |
| 1093269904 | Community Health Clinic Lubbock | Clinic/Center | 1610 5th St, Lubbock, TX 79401-2622 | 2016-08-09 |
| 1407116304 | South Plains Rural Health Services, Inc | Clinic/Center | 2424 50th St, Suite 204, Lubbock, TX 79412-2549 | 2012-05-24 |
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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.