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Contact Information

KALARICKAL J OOMMEN, MD
3506 21ST ST
SUITE 400
LUBBOCK, TX79410
 Phone: 806-725-4115
 Fax: 806-723-7007
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
 

Neurology

2084N0400X 13 Physician/Neurology
Indicates primary specialty

NPI Profile & details for KALARICKAL J OOMMEN · (Male)

NPI Number 1609843655
Status Active
Credentials MD
Entity Individual
Enumeration date 03/08/2006
Last updated 07/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • OK License # 11431
  • TX License # N4871
  • NM Medicaid W5011
  • TX Medicaid 195950403
  • TX Other 8BS951 BCBS TX
Hospital affiliation(s)
  • COVENANT MEDICAL CENTER - (Acute Care)
    3615 19TH STREET
    LUBBOCK, TX 79410
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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