Clinton Risdon, | |
3419 22nd St, Lubbock, TX 79410-1334 | |
(806) 796-3000 | |
(806) 796-3006 |
Full Name | Clinton Risdon |
---|---|
Gender | Male |
Speciality | Certified Registered Nurse Anesthetist (crna) |
Experience | 9 Years |
Location | 3419 22nd St, Lubbock, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245696178 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | AP129981 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
University Medical Center | Lubbock, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Texas Tech University Health Sciences Center Lubbock | 4385549674 | 318 |
Endo Sedation Llc | 4789845363 | 291 |
Entity Name | West Texas Eye Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1184733586 PECOS PAC ID: 5294782389 Enrollment ID: O20050331000886 |
Entity Name | Texas Tech University Health Sciences Center Lubbock |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063461358 PECOS PAC ID: 4385549674 Enrollment ID: O20110318000468 |
Entity Name | Endo Sedation Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588931174 PECOS PAC ID: 4789845363 Enrollment ID: O20120406000221 |
Entity Name | Lubbock Gastroenterology & Liver Associates Pllc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356979397 PECOS PAC ID: 0941630966 Enrollment ID: O20200415001281 |
Mailing Address | Practice Location Address |
---|---|
Clinton Risdon, 3419 22nd St, Lubbock, TX 79410-1334 Ph: (806) 796-3000 | Clinton Risdon, 3419 22nd St, Lubbock, TX 79410-1334 Ph: (806) 796-3000 |
Kayleigh Mccarrell, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 2412 50th St, Lubbock, TX 79412 Phone: 806-744-7223 Fax: 806-740-3325 | |
Mr. Nzonguti Ekangaki, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St Ste 1b350s, Lubbock, TX 79430 Phone: 806-743-6639 | |
Mrs. Mayme Alicia Matthews, Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: Texas Tech University Health Sciences Ctr, 3601 4th Street, Ms 8182, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2982 | |
Mr. Joshua Kain Jones, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 5602 Geneva Ave, Lubbock, TX 79413 Phone: 432-349-0935 | |
Anthony Raymond Fuller, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 602 Indiana Ave, Lubbock, TX 79415 Phone: 806-775-8200 | |
Mrs. Sarah L Daftarian, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 | |
Joshua Alan Long, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 3601 4th St, Ste. 1b350k, Lubbock, TX 79430 Phone: 806-743-2981 Fax: 806-743-2984 |