| Umc Physicians | |
|
5219 City Bank Pkwy Ste 135 Lubbock TX 79407-3595 | |
| (806) 761-0333 | |
| (806) 785-7685 |
| Full Name | Umc Physicians |
|---|---|
| Speciality | Family Medicine |
| Location | 5219 City Bank Pkwy Ste 135, Lubbock, Texas |
| Authorized Official Name and Position | Marco Guardiola (MANAGING DIRECTOR, BUSINESS SERVICE) |
| Authorized Official Contact | 8067610333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Umc Physicians 5219 City Bank Pkwy Suite 160 Lubbock TX 79407-3544 Ph: (806) 761-0333 | Umc Physicians 5219 City Bank Pkwy Ste 135 Lubbock TX 79407-3595 Ph: (806) 761-0333 |
| NPI Number | 1669418547 |
|---|---|
| Provider Enumeration Date | 06/21/2006 |
| Last Update Date | 09/08/2025 |
| Medicare PECOS PAC ID | 9830003631 |
|---|---|
| Medicare Enrollment ID | O20040406001716 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669418547 | NPI | - | NPPES |
| L0376 | Medicaid | NM | |
| 079877902 | Medicaid | TX | |
| CD2498 | Other | TX | RAILROAD MEDICARE |
| 00U84U | Other | TX | BCBS |
| Provider Name | Craig W Barker |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720059611 PECOS PAC ID: 1557266582 Enrollment ID: I20031203000607 |
| Provider Name | Donna L Brazell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346354818 PECOS PAC ID: 1759272248 Enrollment ID: I20040323001607 |
| Provider Name | Heather K Morris |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174548457 PECOS PAC ID: 2163413329 Enrollment ID: I20040518001395 |
| Provider Name | Joyce Covar Dabezies White |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790740595 PECOS PAC ID: 5597748251 Enrollment ID: I20040611001357 |
| Provider Name | Boyd S Fenton |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1174564694 PECOS PAC ID: 2466430871 Enrollment ID: I20040712001215 |
| Provider Name | Christopher L Taylor |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1841206455 PECOS PAC ID: 9133199425 Enrollment ID: I20040726001050 |
| Provider Name | Jalyn D Wall |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073579454 PECOS PAC ID: 9931164852 Enrollment ID: I20041119000747 |
| Provider Name | Eileen S Talusan Garcia |
|---|---|
| Provider Type | Practitioner - Allergy/immunology |
| Provider Identifiers | NPI Number: 1932164837 PECOS PAC ID: 7214992130 Enrollment ID: I20041119000783 |
| Provider Name | Dwight D Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124037171 PECOS PAC ID: 0143285460 Enrollment ID: I20041129000762 |
| Provider Name | Cherrylene Lindgren |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043272834 PECOS PAC ID: 7618928920 Enrollment ID: I20050203000677 |
| Provider Name | Kimberly A Billingsley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063478527 PECOS PAC ID: 4688602394 Enrollment ID: I20050802001290 |
| Provider Name | Nandkishore B Raghuram |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1841293164 PECOS PAC ID: 9335165638 Enrollment ID: I20051017000297 |
| Provider Name | Kimberly A Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982660395 PECOS PAC ID: 2567476286 Enrollment ID: I20060202000321 |
| Provider Name | Ramzi E Abdulrahman |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1790718203 PECOS PAC ID: 5698706406 Enrollment ID: I20060413000175 |
| Provider Name | Patricia Cumming Hood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1700878741 PECOS PAC ID: 8426068958 Enrollment ID: I20060428000132 |
| Provider Name | William E Springer |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1780796714 PECOS PAC ID: 4981605201 Enrollment ID: I20070129000442 |
| Provider Name | Jason B Lentz |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1467532416 PECOS PAC ID: 4284731506 Enrollment ID: I20070522000365 |
| Provider Name | Zachary P Mulkey |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154528370 PECOS PAC ID: 3274634886 Enrollment ID: I20070726000649 |
| Provider Name | Kory L Mitchell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588735104 PECOS PAC ID: 0749374932 Enrollment ID: I20070919000268 |
| Provider Name | Vanessa Bolyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558532598 PECOS PAC ID: 2668542671 Enrollment ID: I20080603000400 |
| Provider Name | Ralph Paone |
|---|---|
| Provider Type | Practitioner - Cardiac Surgery |
| Provider Identifiers | NPI Number: 1396892774 PECOS PAC ID: 8426953316 Enrollment ID: I20080815000062 |
| Provider Name | Shannon D Yarbrough |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851583611 PECOS PAC ID: 7315090628 Enrollment ID: I20090804000751 |
| Provider Name | Thivakorn Kasemsri |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1588627293 PECOS PAC ID: 4183779200 Enrollment ID: I20090825000733 |
| Provider Name | Mark H Soriano |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1639172786 PECOS PAC ID: 9335280791 Enrollment ID: I20100107000053 |
| Provider Name | Robert L Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306806542 PECOS PAC ID: 6305988841 Enrollment ID: I20100122000123 |
| Provider Name | Michael G Mcpherson |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1053322016 PECOS PAC ID: 4183766322 Enrollment ID: I20100126000430 |
| Provider Name | Floyd E Pirtle |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1427014927 PECOS PAC ID: 6608919857 Enrollment ID: I20100210000286 |
| Provider Name | Robert Couch |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1659342574 PECOS PAC ID: 0042340838 Enrollment ID: I20100604000327 |
| Provider Name | Nawal Zeitouni |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1427051572 PECOS PAC ID: 5890826309 Enrollment ID: I20100628000586 |
| Provider Name | Erin C Garcia |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679805659 PECOS PAC ID: 6002930393 Enrollment ID: I20100823001044 |
| Provider Name | Tom R Basye |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1629159603 PECOS PAC ID: 0840484630 Enrollment ID: I20101105000586 |
| Provider Name | Life Barnard |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1487687208 PECOS PAC ID: 6002918174 Enrollment ID: I20101209000890 |
| Provider Name | Mark D Dalise |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1801859723 PECOS PAC ID: 4789577230 Enrollment ID: I20101213000251 |
| Provider Name | Juan J Vuelvas |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1992998090 PECOS PAC ID: 2466641329 Enrollment ID: I20110106001216 |
| Provider Name | Joey T Stone |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609178409 PECOS PAC ID: 4981887478 Enrollment ID: I20110321000817 |
| Provider Name | Macy D Mcmahan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952602393 PECOS PAC ID: 6002099371 Enrollment ID: I20110323000785 |
| Provider Name | Cody R Mandrell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912209073 PECOS PAC ID: 0446434146 Enrollment ID: I20110404000802 |
| Provider Name | Shawn M Reeves |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437451135 PECOS PAC ID: 4789853581 Enrollment ID: I20110812000075 |
| Provider Name | Stacey Lee Zube |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861787723 PECOS PAC ID: 7517138183 Enrollment ID: I20110913000146 |
| Provider Name | Jason Felton |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1003015967 PECOS PAC ID: 0840314175 Enrollment ID: I20111021000563 |
| Provider Name | Nadia N Toor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790945913 PECOS PAC ID: 3173790292 Enrollment ID: I20120112000619 |
| Provider Name | Jennifer Siegel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104809268 PECOS PAC ID: 6305001116 Enrollment ID: I20120628000667 |
| Provider Name | Kevin Cole |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003150186 PECOS PAC ID: 1850545914 Enrollment ID: I20130126000033 |
| Provider Name | Kashif Saleem |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1932439858 PECOS PAC ID: 0749435501 Enrollment ID: I20130227000455 |
| Provider Name | Leslie L Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1336493790 PECOS PAC ID: 3274779640 Enrollment ID: I20130410000272 |
| Provider Name | Stephanie Nicole Lucio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154674935 PECOS PAC ID: 5395986632 Enrollment ID: I20130729000600 |
| Provider Name | Vanessa Crystal Costilla |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1952629065 PECOS PAC ID: 9032356159 Enrollment ID: I20130826000090 |
| Provider Name | Mark Michael Price |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144661539 PECOS PAC ID: 6406090083 Enrollment ID: I20130920000750 |
| Provider Name | Benedicto C Baronia |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1053516310 PECOS PAC ID: 2466538020 Enrollment ID: I20130927000207 |
| Provider Name | Zheng Shi |
|---|---|
| Provider Type | Practitioner - Radiation Oncology |
| Provider Identifiers | NPI Number: 1508024951 PECOS PAC ID: 9234363821 Enrollment ID: I20131015000863 |
| Provider Name | Jennifer Shayne Galey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285062521 PECOS PAC ID: 1850527706 Enrollment ID: I20131122001727 |
| Provider Name | Christy Renee Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1518396365 PECOS PAC ID: 6406082106 Enrollment ID: I20131203000763 |
| Provider Name | Emily Flathouse |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003244955 PECOS PAC ID: 7810123437 Enrollment ID: I20131203001695 |
| Provider Name | Michelle Carlile |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669894051 PECOS PAC ID: 3870717259 Enrollment ID: I20140605001484 |
| Provider Name | Rochelle C Jacinto |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1538452396 PECOS PAC ID: 1254552805 Enrollment ID: I20141023000455 |
| Provider Name | Amber Coon |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1164747960 PECOS PAC ID: 3375764657 Enrollment ID: I20141030001310 |
| Provider Name | Kourtney Morgan Howard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275925000 PECOS PAC ID: 3173840550 Enrollment ID: I20150324000304 |
| Provider Name | Genevieve Lapointe |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1750535365 PECOS PAC ID: 4284790049 Enrollment ID: I20150506001288 |
| Provider Name | Benjamin A Hirsch |
|---|---|
| Provider Type | Practitioner - Thoracic Surgery |
| Provider Identifiers | NPI Number: 1326209891 PECOS PAC ID: 8921236704 Enrollment ID: I20150727000862 |
| Provider Name | Ramoncito Bernardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144695404 PECOS PAC ID: 9830494921 Enrollment ID: I20160229000131 |
| Provider Name | Nebiyou Wondimagegnehu |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1922446632 PECOS PAC ID: 8426357443 Enrollment ID: I20160622002002 |
| Provider Name | Benjamin Wolcott |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467890822 PECOS PAC ID: 3971802851 Enrollment ID: I20160809000895 |
| Provider Name | Sydni Sprecher |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396298279 PECOS PAC ID: 9335435924 Enrollment ID: I20160908000159 |
| Provider Name | Michelle Phillips |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174976716 PECOS PAC ID: 3274821244 Enrollment ID: I20161006000611 |
| Provider Name | Kristen Grace Leake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184175168 PECOS PAC ID: 1557642055 Enrollment ID: I20161221000118 |
| Provider Name | Amy M. Richards |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1720426406 PECOS PAC ID: 1850699208 Enrollment ID: I20170717002085 |
| Provider Name | Charity B Galan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902326895 PECOS PAC ID: 8729359799 Enrollment ID: I20170809002614 |
| Provider Name | Renee Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588189922 PECOS PAC ID: 0749555373 Enrollment ID: I20171009001396 |
| Provider Name | Obinna Ukabam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1528354545 PECOS PAC ID: 0345489696 Enrollment ID: I20171211000211 |
| Provider Name | Kimberly Lynn Jakeway |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598278111 PECOS PAC ID: 1951669647 Enrollment ID: I20180102000619 |
| Provider Name | Amy K Studer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215443171 PECOS PAC ID: 1355600362 Enrollment ID: I20180122000613 |
| Provider Name | Ann C Hughes Bass |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750736443 PECOS PAC ID: 5698068542 Enrollment ID: I20180302001483 |
| Provider Name | Jessica Lee Gray |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851785000 PECOS PAC ID: 7012215304 Enrollment ID: I20180607001240 |
| Provider Name | Tyler Copeland |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114400090 PECOS PAC ID: 2365796281 Enrollment ID: I20181113001361 |
| Provider Name | Nickie D Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1346725090 PECOS PAC ID: 5698019578 Enrollment ID: I20181204000798 |
| Provider Name | Roshni Narayanan |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1154741148 PECOS PAC ID: 7214153055 Enrollment ID: I20191015001164 |
| Provider Name | Maria Roxanne Volante |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790260339 PECOS PAC ID: 0345572095 Enrollment ID: I20191029002704 |
| Provider Name | Mallory D Morrow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205316288 PECOS PAC ID: 8820420821 Enrollment ID: I20191113000654 |
| Provider Name | Samantha Gooss |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275040776 PECOS PAC ID: 0941561617 Enrollment ID: I20191116000027 |
| Provider Name | Alicia Michelle Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1417596438 PECOS PAC ID: 6901233121 Enrollment ID: I20200228001904 |
| Provider Name | Sarah Ashley Cuneo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902416597 PECOS PAC ID: 6204253834 Enrollment ID: I20200827003252 |
| Provider Name | Arrington Madison |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1194254227 PECOS PAC ID: 7315218047 Enrollment ID: I20200828001328 |
| Provider Name | Kameron Lockamy Rogers |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1285051557 PECOS PAC ID: 6608091004 Enrollment ID: I20200915000140 |
| Provider Name | Benita Anita Hernandez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134732407 PECOS PAC ID: 2466871090 Enrollment ID: I20201001001511 |
| Provider Name | Frances Greg Y Bordon |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1457965360 PECOS PAC ID: 2769894260 Enrollment ID: I20201207001264 |
| Provider Name | Megan E Janson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1366738478 PECOS PAC ID: 1355589680 Enrollment ID: I20210225000540 |
| Provider Name | Alexis Elayne Truesdell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1154911873 PECOS PAC ID: 6002221900 Enrollment ID: I20210225002924 |
| Provider Name | Cheyne Layne Moore Ralston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679154397 PECOS PAC ID: 8628477833 Enrollment ID: I20210520000594 |
| Provider Name | Mikaela M Wallace |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1992298467 PECOS PAC ID: 4981007036 Enrollment ID: I20210727001344 |
| Provider Name | Hiep-huy Jamie Tran |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023674447 PECOS PAC ID: 4789916727 Enrollment ID: I20210902001475 |
| Provider Name | Carrie E Montgomery |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871256628 PECOS PAC ID: 5698164333 Enrollment ID: I20211117003191 |
| Provider Name | Cole Ray Vinyard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831853035 PECOS PAC ID: 0244629814 Enrollment ID: I20211119002536 |
| Provider Name | Jennifer Gamez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639838329 PECOS PAC ID: 1456744903 Enrollment ID: I20220207001072 |
| Provider Name | Sandra Kay Dorsett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144972035 PECOS PAC ID: 3072907914 Enrollment ID: I20220218001422 |
| Provider Name | Mohammed Alghamdi |
|---|---|
| Provider Type | Practitioner - Neurosurgery |
| Provider Identifiers | NPI Number: 1194346585 PECOS PAC ID: 5092133587 Enrollment ID: I20220524000292 |
| Provider Name | Timothy Andrew Dixon |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407479280 PECOS PAC ID: 2062838931 Enrollment ID: I20220628000701 |
| Provider Name | Brittany Elise Mitchell |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1417512906 PECOS PAC ID: 5193056612 Enrollment ID: I20220816000048 |
| Provider Name | Lauren Bledsoe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861128258 PECOS PAC ID: 4183000334 Enrollment ID: I20220926003010 |
| Provider Name | Marianna Cardenas-fernandez |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851957989 PECOS PAC ID: 5294062535 Enrollment ID: I20220927000346 |
| Provider Name | Curtis Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881322758 PECOS PAC ID: 0648646158 Enrollment ID: I20221024002366 |
| Provider Name | Ashley Nicole Richards |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487367140 PECOS PAC ID: 5799157418 Enrollment ID: I20230207000413 |
| Provider Name | Maria Teresa Flores |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1699471821 PECOS PAC ID: 8921471277 Enrollment ID: I20230307001558 |
| Provider Name | Becky Torrez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326742156 PECOS PAC ID: 2961867833 Enrollment ID: I20230427002135 |
| Provider Name | Elizabeth Ashley Alvarez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609419779 PECOS PAC ID: 1254797673 Enrollment ID: I20230509002962 |
| Provider Name | William J Oglesby |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104447879 PECOS PAC ID: 6608207964 Enrollment ID: I20230516003734 |
| Provider Name | Kylie Brock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326728064 PECOS PAC ID: 7517328529 Enrollment ID: I20230807001245 |
| Provider Name | Armida Celeste Patdu Gavino |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427671361 PECOS PAC ID: 2860854486 Enrollment ID: I20230815000383 |
| Provider Name | Crystal Dolores Cantu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477234250 PECOS PAC ID: 4587027677 Enrollment ID: I20230822002778 |
| Provider Name | Emily Elizabeth Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114607553 PECOS PAC ID: 8820452188 Enrollment ID: I20230919004086 |
| Provider Name | Abigail Burns |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942729348 PECOS PAC ID: 2860767647 Enrollment ID: I20231028000365 |
| Provider Name | Myrtis Haley Loudermilk |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245019355 PECOS PAC ID: 7517313232 Enrollment ID: I20231031003206 |
| Provider Name | Ryan Augustus Balko |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1568993608 PECOS PAC ID: 1153693882 Enrollment ID: I20240703000676 |
| Provider Name | Ana Margarita Cordon Juarez |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861166357 PECOS PAC ID: 5799225389 Enrollment ID: I20240910002762 |
| Provider Name | Nicky Joe Paniagua |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306665658 PECOS PAC ID: 9537693650 Enrollment ID: I20241113000028 |
| Provider Name | Kristy Abegail Garrison |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285381202 PECOS PAC ID: 4385778653 Enrollment ID: I20250219000530 |
| Provider Name | Madalynn Rae Woolard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972308302 PECOS PAC ID: 3173046935 Enrollment ID: I20250402001376 |
| Provider Name | Kelsi Renae Crane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386439404 PECOS PAC ID: 6709301724 Enrollment ID: I20250422002460 |
| Provider Name | Hiep-huy Jamie Tran |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1023674447 PECOS PAC ID: 4789916727 Enrollment ID: I20250519000453 |
Lubbock Tx Caregiving Llc 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 | |
Partners In Chronic Disease Management Inc 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 | |
Falcon Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3223 S Loop 289 Ste 210, Corporate Office, Lubbock, TX 79423 Phone: 806-771-0995 Fax: 806-771-3813 |