National Provider Identifier Database

TTUHSC MANAGED CARE
Prison Health


Contact Information

TTUHSC MANAGED CARE
1215 AVENUE J
LUBBOCK, TX79401-4038
Phone: 806-743-3818
Fax:
Website:
Specialty Taxonomy Code
* Prison Health 261QP2400X

* Indicates primary specialty

NPI Profile & details for TTUHSC MANAGED CARE

NPI Number 1104490556
Legal business name
LBN
TTUHSC MANAGED CARE
Authorized official WILL RODRIGUEZ - (MANAGED CARE EXECUTIVE DIRECTOR)
Entity Organization
Organization subpart Yes
Enumeration date 05/19/2021
Last updated 05/24/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for TTUHSC MANAGED CARE

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