TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK (NPI# 1932611969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932611969 |
| Entity Type | Organization |
| Organization Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Practice Address |
4102 24th St Ste 507 Lubbock TX 79410-1805 |
| Mailing Address |
3601 4th St Lubbock TX 79430-0002 |
| Practice Telephone | 8067437980 |
| Practice Fax Number | 8067431290 |
| Mailing Telephone | 8067433490 |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2017-12-27 |
| Authorized Official Name | BRENT MAGERS (ASSISTANT DEAN OF FINANCE ADMIN) |
| Authorized Official Telephone | 8067431830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 140327146 | 05 | |
| TX | 084589302 | 05 |
| 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 |
| 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 |
| 1184673469 | Texas Tech University Health Sciences Center Lubbock | Nurse Anesthetist, Certified Registered | 3601 4th St, Ste 1b350k, Lubbock, TX 79430-0002 | 2006-05-06 |
| Street Address |
4102 24TH ST STE 507 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1805 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851387393 | Surendra Varma | Pediatrics | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2005-09-20 |
| 1851935365 | Jasmine Sanchez-ximenez | Nurse Practitioner | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2019-10-29 |
| 1124205513 | Nancy Louise Beck | Pediatrics | 4102 24th St Ste 507, Lubbock, TX 79410 | 2008-01-28 |
| 1518905934 | Adaobi Kanu | Pediatrics | 4102 24th St Ste 507, Lubbock, TX 79410 | 2006-06-04 |
| 1457342842 | Michael Bourgeois | Pediatrics | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2005-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801439344 | Kalos Health Services LLC | Durable Medical Equipment & Medical Supplies | 303 Paris Ave, Lubbock, TX 79401-1237 | 2019-10-28 |
| 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 |
| 1891222907 | Travis Medical Sales Corporation | Durable Medical Equipment & Medical Supplies | 12402 Slide Rd Bldg 4 Ste 401, Lubbock, TX 79424-8323 | 2017-05-19 |
| 1659808434 | United Supermarkets, LLC | Durable Medical Equipment & Medical Supplies | 6313 4th St, Lubbock, TX 79416-4006 | 2017-05-11 |
| 1720436959 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 9809 University Ave, Lubbock, TX 79423-5301 | 2016-05-27 |
| 1992162341 | Wal-mart Stores Texas LLC | Durable Medical Equipment & Medical Supplies | 11415 Quaker Ave, Lubbock, TX 79424-7693 | 2016-01-15 |
| 1740698158 | Universal Medical Equipment Inc | Durable Medical Equipment & Medical Supplies | 6313 Homestead Ave, B, Lubbock, TX 79424-5932 | 2014-07-29 |
| 1164863619 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 608 North Slide Rd, Lubbock, TX 79416 | 2013-07-12 |
| 1194164889 | Texas Incontinence Supply LLC | Durable Medical Equipment & Medical Supplies | 8820 14th St, Lubbock, TX 79416-6218 | 2013-06-17 |
| 1578805156 | Mercury Medical | Durable Medical Equipment & Medical Supplies | 2508 20th St, Lubbock, TX 79410-1507 | 2013-03-21 |
| 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.