LONE STAR MOBILE MED (NPI# 1932697604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932697604 |
| Entity Type | Organization |
| Organization Name | LONE STAR MOBILE MED |
| Practice Address |
5504 Wayne Ave Ste 105 Lubbock TX 79414 |
| Mailing Address |
Po Box 64154 Lubbock TX 79464-4154 |
| Practice Telephone | 8067776028 |
| Mailing Telephone | 8067776028 |
| Enumeration Date | 2018-04-27 |
| Last Update Date | 2018-07-31 |
| Authorized Official Name | JASON NURNBERG (PARTNER) |
| Authorized Official Telephone | 5126192451 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | LONE STAR MOBILE MED |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6404 Ladera Norte, Austin, TX 787312614 | 8067776028 |
| Street Address |
5504 WAYNE AVE STE 105 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79414 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275182032 | Ensight Vision LLC | Optometrist | 6002 Slide Road, Lubbock, TX 79414 | 2019-09-05 |
| 1679986806 | Nicole Evans-taylor | Pharmacist | 4847 Slide Road, Lubbock, TX 79414 | 2014-06-05 |
| 1679911697 | Jamel Deshane Vaughn | Optometrist | 6002 Slide Rd Ste P-8, Lubbock, TX 79414 | 2013-06-12 |
| 1659663284 | Vision One Associates | Optometrist | 6221 Slide Road, Lubbock, TX 79414 | 2011-05-16 |
| 1154445963 | C M Davis Od Pllc | Optometrist | 6002 Slide Road Suite P-8, Lubbock, TX 79414 | 2007-03-19 |
| 1922154632 | National Vision, Inc. | Eyewear Supplier (Equipment, not the service) | 5602 Slide Road, Lubbock, TX 79414 | 2007-01-26 |
| 1043393846 | Emily Rose Bohn | Physical Therapist | 3501 S. Loop 289, Lubbock, TX 79414 | 2006-10-23 |
| 1720176928 | Vann Alexander Home Medical Supplies Inc | Durable Medical Equipment & Medical Supplies | 5313 50th Street, Suite D-5, Lubbock, TX 79414 | 2006-10-11 |
| 1952499279 | Bradley Derl Brooks | Dentist | 5301 50th Street #200, Lubbock, TX 79414 | 2006-10-11 |
| 1275627473 | Shannon Michelle Galyean | Dietitian, Registered | 3805 22nd Place, Lubbock, TX 79414 | 2006-10-03 |
| Find all providers in zip 79414 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699283960 | Rhonda Lynn Romero | Family Medicine | 5519 104th St, Lubbock, TX 79424-8265 | 2018-01-19 |
| 1033645296 | Ryan Daniel Lurtsema | Family Medicine | 3601 4th Street Mail Stop 9901, Lubbock, TX 79430-0002 | 2017-05-10 |
| 1285081216 | Bobby R Patterson | Family Medicine | Ttuhsc Dept of Family & Community Medicine, 3601 4th St, Stop 8143, Lubbock, TX 79430-0001 | 2016-05-19 |
| 1851785000 | Jessica Lee Gray | Family Medicine | 4004 82nd St Ste F, Lubbock, TX 79423-2065 | 2015-03-26 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1114276276 | Marie D Percy Md Pa | Family Medicine | 4210 50th St, Suite D, Lubbock, TX 79413-3863 | 2012-09-05 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| 1154688778 | Charla Beth Allen | Family Medicine | 3601 4th St Stop 9901, Lubbock, TX 79430-9901 | 2012-04-19 |
| 1962769588 | Amy Richelle Sikes | Family Medicine | Department of Family and Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430-0001 | 2012-04-19 |
| 1093025827 | Hanford Consultations, P.a. | Family Medicine | 4617 91st Street, Lubbock, TX 79424 | 2010-10-14 |
| 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.