| 10611 Medical Associates Pllc | |
|
10611 Quaker Ave Lubbock TX 79424-8309 | |
| (806) 797-4000 | |
| Not Available |
| Full Name | 10611 Medical Associates Pllc |
|---|---|
| Speciality | Physical Medicine & Rehabilitation |
| Location | 10611 Quaker Ave, Lubbock, Texas |
| Authorized Official Name and Position | Jason Helton (OWNER) |
| Authorized Official Contact | 8067974000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| 10611 Medical Associates Pllc 10611 Quaker Ave Lubbock TX 79424-8309 Ph: (806) 797-4000 | 10611 Medical Associates Pllc 10611 Quaker Ave Lubbock TX 79424-8309 Ph: (806) 797-4000 |
| NPI Number | 1891430989 |
|---|---|
| Provider Enumeration Date | 05/03/2022 |
| Last Update Date | 05/05/2022 |
| Medicare PECOS PAC ID | 6103207428 |
|---|---|
| Medicare Enrollment ID | O20220719000047 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891430989 | NPI | - | NPPES |
| Provider Name | Jason C Helton |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1194725176 PECOS PAC ID: 7416965777 Enrollment ID: I20060328000375 |
| Provider Name | Jennifer M Ezell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1740464288 PECOS PAC ID: 2961586862 Enrollment ID: I20080303000278 |
| Provider Name | Abel Dan Ramos |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891137253 PECOS PAC ID: 5597988550 Enrollment ID: I20140520000110 |
| Provider Name | Cristan D Ledbetter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1427417633 PECOS PAC ID: 7315237930 Enrollment ID: I20160622001576 |
| Provider Name | Curtis C Stacy |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1497908990 PECOS PAC ID: 0941570618 Enrollment ID: I20170728000574 |
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