Texas Tech University Health Sciences Center Lubbock | |
3601 4th St Ste 1a122 Lubbock TX 79430-0002 | |
(806) 743-2800 | |
(806) 743-4250 |
Full Name | Texas Tech University Health Sciences Center Lubbock |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 3601 4th St, Lubbock, Texas |
Authorized Official Name and Position | Brent Magers (ASSISTANT DEAN OF FINANCE ADMIN) |
Authorized Official Contact | 8067431830 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Texas Tech University Health Sciences Center Lubbock Po Box 27476 Salt Lake City UT 84127-0476 Ph: (806) 743-4263 | Texas Tech University Health Sciences Center Lubbock 3601 4th St Ste 1a122 Lubbock TX 79430-0002 Ph: (806) 743-2800 |
NPI Number | 1881643179 |
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Provider Enumeration Date | 05/06/2006 |
Last Update Date | 03/07/2022 |
Certification Date | 03/07/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881643179 | NPI | - | NPPES |
140327144 | Medicaid | TX | |
084592701 | Medicaid | TX | |
G1217 | Medicaid | NM | |
00QQ87 | Other | TX | BC/BS |
CD9207 | Other | TX | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
Gabrielle K Keenum Ma Lpc Pc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6309 Indiana Ave Ste D, Lubbock, TX 79413 Phone: 806-790-1327 Fax: 806-863-3874 | |
Lubbock Accident & Injury Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5201 Indiana Ave, Lubbock, TX 79413 Phone: 806-793-7246 | |
Desert Sky Family Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5504 Wayne Ave Ste 109, Lubbock, TX 79414 Phone: 806-853-7292 | |
Denovo Therapy Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2345 50th St Ste 501, Lubbock, TX 79412 Phone: 806-370-3157 Fax: 806-243-4002 | |
G. Gary Walker, Ph.d., P.c. Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5120 29th Dr Ste D, Lubbock, TX 79407 Phone: 806-798-8855 Fax: 806-792-5715 | |
Swmh Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4413 71st St Ste G101, Lubbock, TX 79424 Phone: 806-438-8089 | |
John Cobb, M.d., Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6502 Slide Road, Suite 311, Lubbock, TX 79424 Phone: 806-771-1386 Fax: 806-771-1388 |