| Monja L Proctor, MD | |
|
4102 22nd Pl, Lubbock, TX 79410-1122 | |
| (806) 725-0237 | |
| (806) 725-1030 |
| Full Name | Monja L Proctor |
|---|---|
| Gender | Female |
| Speciality | Surgery - Pediatric Surgery |
| Location | 4102 22nd Pl, Lubbock, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023192747 | NPI | - | NPPES |
| 8369837 | Medicaid | WA | |
| 1E9888 | Other | TX | MEDICARE |
| Entity Name | Alaska Pediatric Specialties Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1396140950 PECOS PAC ID: 9537435284 Enrollment ID: O20171024002194 |
| Mailing Address | Practice Location Address |
|---|---|
| Monja L Proctor, MD 2215 Nashville Ave, Lubbock, TX 79410-1105 Ph: (806) 725-5844 | Monja L Proctor, MD 4102 22nd Pl, Lubbock, TX 79410-1122 Ph: (806) 725-0237 |
Tabitha Threatt, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-743-2373 Fax: 806-743-4354 | |
Ted W Allen, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560 | |
Sammy Anthony Deeb, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 3509 22nd St, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8500 | |
Dr. Brittany Kay Bankhead, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2373 Fax: 806-743-4354 | |
Shirley Yuen Man Hui, MD Surgery Medicare: Medicare Enrolled Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2373 Fax: 806-743-4354 | |
Adam Purtell, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 3611 22nd Pl, Lubbock, TX 79410 Phone: 806-799-7928 Fax: 806-788-8560 |