Cassidy Coltrain, | |
3601 4th St Stop 8182, Lubbock, TX 79430-8182 | |
(806) 743-2981 | |
Not Available |
Full Name | Cassidy Coltrain |
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Gender | Female |
Speciality | Anesthesiologist Assistant |
Location | 3601 4th St Stop 8182, Lubbock, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1003535733 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367H00000X | Anesthesiologist Assistant | 32698256 (Texas) | Primary |
367H00000X | Anesthesiologist Assistant | (* (Not Available)) | Secondary |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Mailing Address | Practice Location Address |
---|---|
Cassidy Coltrain, Po Box 764, Mead, CO 80542-0764 Ph: () - | Cassidy Coltrain, 3601 4th St Stop 8182, Lubbock, TX 79430-8182 Ph: (806) 743-2981 |
Steven D Shannon, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 7509 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 | |
Ramiro Rodriguez, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Elizabeth Walterscheid Kennelly, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Mason Gibson, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Paula Galloway, AA Anesthesiologist Assistant Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Jessie Vaughan, A.A. Anesthesiologist Assistant Medicare: Medicare Enrolled Practice Location: 7509 Marsha Sharp Fwy, Lubbock, TX 79407 Phone: 806-744-7223 Fax: 806-740-3325 |