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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

NPI Number 1548219827
LBN Legal business name TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Authorized official BRENT MAJORS - (ASSISTANT DEAN FINANCE ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 05/06/2006
Last updated 01/11/2022 - About 4 years ago
Identifiers
NM Medicaid G1217
OK Medicaid 100708740A
TX Medicaid 084590101
TX Medicaid 140327105
TX Other 00QQ84 BC/BS
TX Other CD9207 RAILROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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