Joshua Kyle Brodbeck, | |
602 Indiana Ave, Lubbock, TX 79415-3364 | |
(806) 775-8200 | |
Not Available |
Full Name | Joshua Kyle Brodbeck |
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Gender | Male |
Speciality | Nurse Practitioner |
Location | 602 Indiana Ave, 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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1790416428 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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363LA2100X | Nurse Practitioner - Acute Care | 1085591 (Texas) | Secondary |
363L00000X | Nurse Practitioner | 1085591 (Texas) | Primary |
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 |
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Joshua Kyle Brodbeck, 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: () - | Joshua Kyle Brodbeck, 602 Indiana Ave, Lubbock, TX 79415-3364 Ph: (806) 775-8200 |
Kelli Chari Tyler Hayes, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7008 Indiana Ave, Ste A, Lubbock, TX 79413 Phone: 806-698-8088 Fax: 806-698-8588 | |
Gay Ann Tibbets, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1902 50th St, Lubbock, TX 79412 Phone: 806-771-1386 Fax: 806-771-1388 | |
Kevin Cole, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3502 9th St Ste 440, Lubbock, TX 79415 Phone: 806-761-0535 Fax: 806-761-0534 | |
Emily Flathouse, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7501 Quaker Ave Fl 1, Lubbock, TX 79424 Phone: 806-788-3306 Fax: 806-772-3861 | |
Malory Shanks, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6104 Avenue Q South Dr, Lubbock, TX 79412 Phone: 806-472-3400 | |
Mrs. Jessica D Ann Sisneros, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3506 21st St Ste 507, Lubbock, TX 79410 Phone: 806-725-4805 Fax: 806-723-4815 | |
Renee Naomi Livesay, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8504 Kenosha Dr, Lubbock, TX 79423 Phone: 806-773-5880 |