TTUHSC MANAGED CARE; NPI #1104490556

Contact Information

TTUHSC MANAGED CARE

1215 AVENUE J
LUBBOCK, TX 79401-4038

Phone: 806-743-3818
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Prison Health	261QP2400X

Indicates primary specialty

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NPI Profile & details for TTUHSC MANAGED CARE

NPI Number	`1104490556`
LBN Legal business name	TTUHSC MANAGED CARE
Authorized official	WILL RODRIGUEZ - (MANAGED CARE EXECUTIVE DIRECTOR)
Entity	Organization
Organization subpart ¹	Yes
Enumeration date	05/19/2021
Last updated	05/24/2021 - About 5 years ago
Identifiers	n/a

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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