| Lubbock Regional Mhmr Center | |
|
904 Avenue O Lubbock TX 79401-3924 | |
| (806) 766-0310 | |
| Not Available |
| Full Name | Lubbock Regional Mhmr Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 904 Avenue O, Lubbock, Texas |
| Authorized Official Name and Position | Cathy Pope (CEO) |
| Authorized Official Contact | 8067660310 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubbock Regional Mhmr Center 904 Avenue O P.o. Box 2828 Lubbock TX 79401-3924 Ph: (806) 766-0310 | Lubbock Regional Mhmr Center 904 Avenue O Lubbock TX 79401-3924 Ph: (806) 766-0310 |
| NPI Number | 1851507222 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 12/05/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851507222 | NPI | - | NPPES |
| 1364929-07 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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