| Benjamin Trujillo, | |
|
3702 21st St, Lubbock, TX 79410-1299 | |
| (806) 795-2751 | |
| Not Available |
| Full Name | Benjamin Trujillo |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner - Family |
| Location | 3702 21st St, 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 |
|---|---|---|---|
| 1699358200 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | AP143973 (Texas) | Primary |
| 207Q00000X | Family Medicine | AP143973 (Texas) | Secondary |
| Entity Name | Vpa of Texas PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1679510499 PECOS PAC ID: 7618911660 Enrollment ID: O20050610000702 |
| Entity Name | Harmonycares Complete Health Services PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1093543902 PECOS PAC ID: 8921529751 Enrollment ID: O20250310000271 |
| Mailing Address | Practice Location Address |
|---|---|
| Benjamin Trujillo, 5510 79th St, Lubbock, TX 79424-2606 Ph: (806) 778-7830 | Benjamin Trujillo, 3702 21st St, Lubbock, TX 79410-1299 Ph: (806) 795-2751 |
Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588 |
Gay Ann Tibbets, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 50th St, Lubbock, TX 79412 Phone: 806-771-1386 Fax: 806-771-1388 |
Kevin Cole, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534 |
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Quaker Ave Fl 1, Lubbock, TX 79424 Phone: 806-788-3306 Fax: 806-772-3861 |
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400 |
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815 |
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880 |