| James Todd Rose, M.D., P.A. | |
|
4417 71st St Suite 42 Lubbock TX 79424-2394 | |
| (806) 799-2991 | |
| (806) 793-5331 |
| Full Name | James Todd Rose, M.D., P.A. |
|---|---|
| Speciality | Internal Medicine |
| Location | 4417 71st St, Lubbock, Texas |
| Authorized Official Name and Position | Todd Rose (PRESIDENT) |
| Authorized Official Contact | 8067992991 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| James Todd Rose, M.D., P.A. 4417 71st St Suite 42 Lubbock TX 79424-2394 Ph: (806) 799-2991 | James Todd Rose, M.D., P.A. 4417 71st St Suite 42 Lubbock TX 79424-2394 Ph: (806) 799-2991 |
| NPI Number | 1467762021 |
|---|---|
| Provider Enumeration Date | 10/18/2010 |
| Last Update Date | 09/04/2015 |
| Medicare PECOS PAC ID | 8224219175 |
|---|---|
| Medicare Enrollment ID | O20110224000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467762021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | L9460 (Texas) | Primary |
| 207RN0300X | Internal Medicine - Nephrology | L9460 (Texas) | Secondary |
| Provider Name | James Todd Rose |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1861488827 PECOS PAC ID: 5890763569 Enrollment ID: I20040921000138 |
| Provider Name | Timothy L Boomer |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1710230172 PECOS PAC ID: 0840435103 Enrollment ID: I20130315000012 |
Cornerstone Caregiving Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5236 80th St Ste A&b, Lubbock, TX 79424 Phone: 806-853-8575 |
Caprock Medical Associates, P.A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3802 21st St, C, Lubbock, TX 79410 Phone: 806-791-5140 Fax: 806-791-0454 |
Community Health Center of Lubbock, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Broadway, Lubbock, TX 79401 Phone: 806-765-2611 Fax: 806-767-0589 |
Medical House Call Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10907 Quaker Ave, Lubbock, TX 79424 Phone: 806-771-7798 Fax: 806-687-9299 |
Epiphany Medical Services PA Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13810 Quaker Ave, Lubbock, TX 79424 Phone: 806-576-3856 Fax: 806-305-3348 |
Holly S. Stewart, MD PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Suite 360, Lubbock, TX 79415 Phone: 806-744-7764 Fax: 806-744-7761 |