| Suzanne Self, PA-C | |
|
10507 Quaker Ave, Suite A, Lubbock, TX 79424-8442 | |
| (806) 701-5425 | |
| Not Available |
| Full Name | Suzanne Self |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant - Medical |
| Location | 10507 Quaker Ave, 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 |
|---|---|---|---|
| 1063489078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363AM0700X | Physician Assistant - Medical | PA02423 (Texas) | Primary |
| Entity Name | Texas Physicians Group |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1497014369 PECOS PAC ID: 0042476582 Enrollment ID: O20120727000066 |
| Entity Name | Austin Physiatry LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1942799747 PECOS PAC ID: 5294086856 Enrollment ID: O20180920000562 |
| Mailing Address | Practice Location Address |
|---|---|
| Suzanne Self, PA-C 4802 N Loop 289, Premiere Clinic, Lubbock, TX 79416-3025 Ph: (806) 788-0040 | Suzanne Self, PA-C 10507 Quaker Ave, Suite A, Lubbock, TX 79424-8442 Ph: (806) 701-5425 |
Jennifer Anne Proffitt, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 5028 122nd St, Lubbock, TX 79424 Phone: 806-749-7975 Fax: 806-749-7937 |
Sixtus Atabong, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 4515 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 |
Johnny Turner, PA Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 6102 82nd St Unit 14, Lubbock, TX 79424 Phone: 806-712-0446 Fax: 806-712-0450 |
Aaron Grappe, Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3419 22nd St, Lubbock, TX 79410 Phone: 806-796-3000 |
Mr. Max E Mccasland, PAC Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3401 N University Ave, Lubbock, TX 79415 Phone: 806-741-9787 Fax: 806-741-3563 |
Mr. Jason Paul Cooper, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-3150 Fax: 806-743-3168 |
Breianna Shae Cortez, PA-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-7076 |