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Contact Information

TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
3601 4TH ST FL 4
LUBBOCK, TX79430
 Phone: 806-743-2475
 Fax: 806-743-2478
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthopaedic Surgery

207X00000X 02 Physician/General Surgery
 

Customized Equipment

332BC3200X 87 All Other Suppliers
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

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

NPI Number 1245289537
Status Active
Credentials
Entity Individual
Enumeration date 05/06/2006
Last updated 06/06/2024 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • NM Medicaid G1217
  • TX Medicaid 084589302
  • TX Medicaid 140327146
  • TX Other 00QQ83 BC/BS
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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