| |
6500 Quaker Ave, Suite A, Lubbock, TX 79413-5100 | |
(806) 785-7771 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Physical Therapist |
Location | 6500 Quaker Ave, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1124312624 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 1033702 (Texas) | Primary |
225100000X | Physical Therapist | 1107050 (Texas) | Secondary |
Provider Name | Elmer V Lim |
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Provider Type | Practitioner - Physical Therapist In Private Practice |
Provider Identifiers | NPI Number: 1427150465 PECOS PAC ID: 1658541156 Enrollment ID: I20110818000701 |
Mailing Address | Practice Location Address |
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6500 Quaker Ave, Suite A, Lubbock, TX 79413-5100 Ph: (806) 785-7771 | 6500 Quaker Ave, Suite A, Lubbock, TX 79413-5100 Ph: (806) 785-7771 |
Mrs. Liesl Lynn Olson, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 3223 S Loop 289, Ste 101, Lubbock, TX 79423 Phone: 806-740-3342 Fax: 806-740-3325 | |
Mr. Robert Glenn Roten, LPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 6801 Indiana Ave, Lubbock, TX 79413 Phone: 806-785-7900 Fax: 806-785-7909 | |
Natalie Denise Steadman, ATC, LAT, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4507 7th St, Lubbock, TX 79416 Phone: 806-791-0316 Fax: 806-743-3518 | |
Jennifer Mounce, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 4138 19th St, Lubbock, TX 79407 Phone: 806-771-8008 Fax: 806-771-8009 | |
Mr. Shane Edward Haas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5606 Geneva Ave, Lubbock, TX 79413 Phone: 806-797-3805 Fax: 806-797-0140 | |
Mr. Charles Franklin Berry, PT, MPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1628 19th St, Lubbock, TX 79401 Phone: 806-766-1172 Fax: 806-766-1286 | |
Jodi Benham, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6202 82nd St, Lubbock, TX 79424 Phone: 806-687-8008 Fax: 806-687-8009 |