| Texas Tech University Health Sciences Center - Son - Lubbock | |
|
301 40th St Lubbock TX 79404-2811 | |
| (806) 743-9355 | |
| (806) 743-9361 |
| Full Name | Texas Tech University Health Sciences Center - Son - Lubbock |
|---|---|
| Speciality | Family Medicine |
| Location | 301 40th St, Lubbock, Texas |
| Authorized Official Name and Position | Linda Mcmurry (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8067439571 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Tech University Health Sciences Center - Son - Lubbock 301 40th St Lubbock TX 79404-2811 Ph: (806) 743-9355 | Texas Tech University Health Sciences Center - Son - Lubbock 301 40th St Lubbock TX 79404-2811 Ph: (806) 743-9355 |
| NPI Number | 1346348463 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 08/18/2022 |
| Certification Date | 08/18/2022 |
| Medicare PECOS PAC ID | 9537158886 |
|---|---|
| Medicare Enrollment ID | O20040511000758 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346348463 | NPI | - | NPPES |
| 017690103 | Medicaid | TX |
| Provider Name | Sally T Coates |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770538829 PECOS PAC ID: 1254320518 Enrollment ID: I20040511000846 |
| Provider Name | Wanda Yondell Masten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1730134115 PECOS PAC ID: 9234160607 Enrollment ID: I20050825000326 |
| Provider Name | Christie Rae Hust |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1891740353 PECOS PAC ID: 2163446477 Enrollment ID: I20060125000239 |
| Provider Name | Wendy Thal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174578637 PECOS PAC ID: 3678584265 Enrollment ID: I20060510000544 |
| Provider Name | Jason B Lentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467532416 PECOS PAC ID: 4284731506 Enrollment ID: I20070522000365 |
| Provider Name | Maritza J Milan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427064245 PECOS PAC ID: 3870674203 Enrollment ID: I20080111000209 |
| Provider Name | Lisa D Reynolds |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396926945 PECOS PAC ID: 2668552563 Enrollment ID: I20080114000276 |
| Provider Name | Mary L Milam |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013956341 PECOS PAC ID: 6901983683 Enrollment ID: I20080404000405 |
| Provider Name | Kimberlee C Gutierrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013192004 PECOS PAC ID: 6103999412 Enrollment ID: I20080721000149 |
| Provider Name | Edward R Yeomans |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1518984152 PECOS PAC ID: 4082772736 Enrollment ID: I20081023000740 |
| Provider Name | Terry Mcmahon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477539757 PECOS PAC ID: 6204987795 Enrollment ID: I20090623000512 |
| Provider Name | Cynthia A Jumper |
|---|---|
| Provider Type | Practitioner - Pulmonary Disease |
| Provider Identifiers | NPI Number: 1437148947 PECOS PAC ID: 2062563497 Enrollment ID: I20090625000285 |
| Provider Name | Dean A Schultz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619013976 PECOS PAC ID: 1951483791 Enrollment ID: I20100216000260 |
| Provider Name | Rosalinda R Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275969719 PECOS PAC ID: 8022247451 Enrollment ID: I20140206000625 |
| Provider Name | Gayle Ayers |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508182668 PECOS PAC ID: 6608099015 Enrollment ID: I20140603000585 |
| Provider Name | Sandra Denise Eastling |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1770993420 PECOS PAC ID: 0446574305 Enrollment ID: I20150123001592 |
| Provider Name | Eugene Fletcher |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1548231806 PECOS PAC ID: 3375869282 Enrollment ID: I20150311001043 |
| Provider Name | Derek Tuley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629447255 PECOS PAC ID: 4789985383 Enrollment ID: I20151228001234 |
| Provider Name | Veronica L Estrada |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396297552 PECOS PAC ID: 9032492152 Enrollment ID: I20170215000094 |
| Provider Name | Roger C Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740732825 PECOS PAC ID: 8224312822 Enrollment ID: I20170227002076 |
| Provider Name | Thaddee Uwimana |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316480684 PECOS PAC ID: 4183909161 Enrollment ID: I20170315000972 |
| Provider Name | Yasin Ibrahim |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1659787067 PECOS PAC ID: 0749526986 Enrollment ID: I20190109002403 |
| Provider Name | Cody Joe Sliger |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750932729 PECOS PAC ID: 5193157717 Enrollment ID: I20191119002442 |
| Provider Name | Karla Alexandra Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386206977 PECOS PAC ID: 6103245618 Enrollment ID: I20201002001101 |
| Provider Name | Britlee Bachman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114503257 PECOS PAC ID: 8022427699 Enrollment ID: I20210511002668 |
| Provider Name | Wail Amor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1376064543 PECOS PAC ID: 1759652829 Enrollment ID: I20210814000276 |
| Provider Name | Jennifer Leann Alvarez |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1730820515 PECOS PAC ID: 0547648396 Enrollment ID: I20220607000666 |
| Provider Name | Sandy Delores Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598498172 PECOS PAC ID: 2365824646 Enrollment ID: I20220803000875 |
| Provider Name | Donald Humphrey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992435358 PECOS PAC ID: 6800270075 Enrollment ID: I20220907002824 |
| Provider Name | Cynthia Kay Acock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932816600 PECOS PAC ID: 2668843913 Enrollment ID: I20230124001342 |
| Provider Name | Richard Sankara Musonera |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1023728557 PECOS PAC ID: 0042681264 Enrollment ID: I20230126002479 |
| Provider Name | Becky Torrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326742156 PECOS PAC ID: 2961867833 Enrollment ID: I20230427002135 |
| Provider Name | Aitenobhan Cynthia Ofeinmun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427749514 PECOS PAC ID: 9335501451 Enrollment ID: I20230821003507 |
| Provider Name | Mathew Molina |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134809734 PECOS PAC ID: 5496119836 Enrollment ID: I20230918003887 |
| Provider Name | Elizabeth Scott |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1215192091 PECOS PAC ID: 1951758002 Enrollment ID: I20231202000330 |
| Provider Name | Tillie Mcguire |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1952004913 PECOS PAC ID: 5395193312 Enrollment ID: I20231215000967 |
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 |