| Tabitha Threatt, MD | |
|
602 Indiana Ave, Lubbock, TX 79415-3364 | |
| (806) 743-2373 | |
| (806) 743-4354 |
| Full Name | Tabitha Threatt |
|---|---|
| Gender | Female |
| Speciality | General Surgery |
| Experience | 7 Years |
| Location | 602 Indiana Ave, Lubbock, Texas |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003306812 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0102X | Surgery - Surgical Critical Care | U9095 (Texas) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| University Medical Center | Lubbock, TX | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Texas Tech University Health Sciences Center Lubbock | 4385549674 | 340 |
| Entity Name | Texas Tech University Health Sciences Center Lubbock |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
| Mailing Address | Practice Location Address |
|---|---|
| Tabitha Threatt, MD 7703 Floyd Curl Drive, Mail Code 7742, San Antonio, TX 78229-5544 Ph: (210) 567-5711 | Tabitha Threatt, MD 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: (806) 743-2373 |
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 | |
Monja L Proctor, MD Surgery Medicare: Medicare Enrolled Practice Location: 4102 22nd Pl, Lubbock, TX 79410 Phone: 806-725-0237 Fax: 806-725-1030 | |
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 |