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Contact Information

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
3601 4TH ST
STE 4A100
LUBBOCK, TX79430-0002
 Phone: 806-743-1842
 Fax: 806-743-1105
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
 

Dermatopathology

207ND0900X 07 Physician/Dermatology
 

Multi-Specialty

261QM1300X 70 Clinic or Group Practice
Indicates primary specialty

NPI Profile & details for TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK · (Female)

NPI Number 1548219827
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2006
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • NM Medicaid G1217
  • OK Medicaid 100708740A
  • TX Medicaid 084590101
  • TX Medicaid 140327105
  • TX Other 00QQ84 BC/BS
  • TX Other CD9207 RAILROAD MEDICARE
Hospital affiliation(s) Not Available
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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