WEST TEXAS DIGESTIVE DISEASE CENTER, PA (NPI# 1720299381) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720299381 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS DIGESTIVE DISEASE CENTER, PA |
| Practice Address |
5115 80th St Lubbock TX 79424-3017 |
| Mailing Address |
Po Box 93128 Lubbock TX 79493-3128 |
| Practice Telephone | 8067884368 |
| Practice Fax Number | 8067884369 |
| Mailing Telephone | 8067884368 |
| Mailing Fax Number | 8067884369 |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2012-04-11 |
| Authorized Official Name | DR. HOUSSAM AL KHARRAT (PRESIDENT) |
| Authorized Official Telephone | 8067884368 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
L8588 | TX | Ambulatory Health Care Facilities |
| Street Address |
5115 80TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79424-3017 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295734424 | Houssam Al Kharrat | Internal Medicine | 5115 80th St, Lubbock, TX 79424-3017 | 2005-07-19 |
| 1942815964 | South Plains Pathology Inc | Clinical Medical Laboratory | 5115 80th St, Lubbock, TX 79424-3017 | 2020-09-15 |
| 1205494499 | Kevin Wayne Miller | Nurse Practitioner | 5115 80th St, Lubbock, TX 79424-3017 | 2019-06-03 |
| 1760957096 | South Plains Infusion, Inc | Clinic/Center | 5115 80th St, Lubbock, TX 79424-3017 | 2018-10-13 |
| 1174066799 | Marygrace Johnson | Nurse Practitioner | 5115 80th St, Lubbock, TX 79424-3017 | 2016-11-30 |
| 1174950869 | Gabriel August Leiker | Nurse Practitioner | 5115 80th St, Lubbock, TX 79424-3017 | 2013-09-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376158121 | West Texas H.a.n.d. Pllc | Surgery | 5613 114th St, Lubbock, TX 79424 | 2020-09-09 |
| 1811519044 | H-e-b, Lp | Clinical Medical Laboratory | 4405 114th Street, Lubbock, TX 79424 | 2020-05-11 |
| 1184245573 | Jim Lee Lowrance | Chiropractor | 5152 69th Suite 101, Suite 101 Box #2, Lubbock, TX 79424 | 2020-04-27 |
| 1134787377 | April Denise Gardea | Speech-Language Pathologist | 6502 Slide Road Suite 204, Lubbock, TX 79424 | 2019-06-03 |
| 1215590658 | April Dawn Fortner | Counselor | 7617 86th St., Lubbock, TX 79424 | 2019-04-22 |
| 1427514561 | Thornhill Healthcare II, Inc. | Pharmacy | 6823 82nd St, Suite 600, Lubbock, TX 79424 | 2019-02-13 |
| 1174001358 | Emily Cowell | Technician, Other | 6102 82nd St Ste 10, Lubbock, TX 79424 | 2018-07-31 |
| 1043718786 | Edward Murphy | Pharmacist | 8702 Toledo Ave, Lubbock, TX 79424 | 2018-01-29 |
| 1013434364 | Yung Ling Tsai | Specialist/Technologist | 4707 116th Street, Lubbock, TX 79424 | 2017-08-28 |
| 1285187237 | Wter Quaker, Lp | Clinic/Center | 10205 Quaker Ave, Lubbock, TX 79424 | 2016-07-26 |
| Find all providers in zip 79424 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902927676 | Wael Tello, Md, Pa | Clinic/Center | 4407 6th St, Lubbock, TX 79416-4733 | 2007-04-02 |
| 1336198621 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Suite 2a100, Lubbock, TX 79430-0002 | 2006-05-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888080 | Ameri Medical | Clinic/Center | 2301 Marsh Ln Ste 600, Plano, TX 75093-8497 | 2020-10-09 |
| 1093326969 | Origin Spine Institute LLC | Clinic/Center | 9135 Katy Fwy Ste 300, Houston, TX 77024-1619 | 2020-08-13 |
| 1164061644 | Iari | Clinic/Center | 12606 Greenville Ave Ste 190b, Dallas, TX 75243-1921 | 2019-12-31 |
| 1366081192 | Sprout Chiropractic Pllc | Clinic/Center | 3421 W William Cannon Dr Ste 145, Austin, TX 78745-5002 | 2019-12-26 |
| 1902369101 | Banerji Plastic Surgery | Clinic/Center | 11914 Astoria Blvd Ste 580, Houston, TX 77089-5975 | 2019-04-13 |
| 1831653526 | Naveli Medical Services, Pllc | Clinic/Center | 9090 Gaylord Dr Ste 200, Houston, TX 77024-2948 | 2019-01-26 |
| 1740758606 | Landry's Elite Medical Enterprise, Pllc | Clinic/Center | 3204 Melody Peak Ln, Pearland, TX 77581-2555 | 2018-11-08 |
| 1982179602 | Spring Center of Hope | Clinic/Center | 20008 Champion Forest Dr Ste 1202, Spring, TX 77379-8697 | 2018-10-09 |
| 1609378801 | Express Anesthesia & Pain Management Consultants,pllc | Clinic/Center | 6609 W Sam Houston Pkwy S Ste 101, Houston, TX 77072-1641 | 2018-03-02 |
| 1902313588 | Bbg Cosmetic and Plastic Surgery | Clinic/Center | 5930 W Parker Rd Ste 600, Plano, TX 75093-6420 | 2018-01-04 |
| 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.