| Family First Healthcare Of Lubbock, Llc | |
|
5935 82nd St Lubbock TX 79424-3673 | |
| (806) 794-3000 | |
| (806) 698-0702 |
| Full Name | Family First Healthcare Of Lubbock, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5935 82nd St, Lubbock, Texas |
| Authorized Official Name and Position | Randolph Kyle Rozean (OWNER / PHYSICIAN) |
| Authorized Official Contact | 8067943000 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family First Healthcare Of Lubbock, Llc 5935 82nd St Lubbock TX 79424-3673 Ph: (806) 794-3000 | Family First Healthcare Of Lubbock, Llc 5935 82nd St Lubbock TX 79424-3673 Ph: (806) 794-3000 |
| NPI Number | 1164468039 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1153327366 |
|---|---|
| Medicare Enrollment ID | O20061011000573 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164468039 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | H1314 (Texas) | Primary |
| Provider Name | Randolph K Rozean |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932163003 PECOS PAC ID: 5991709602 Enrollment ID: I20060912000457 |
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