| Caprock Clinical Services Llc | |
|
3434 B 34th St Lubbock TX 79410 | |
| (806) 300-6156 | |
| Not Available |
| Full Name | Caprock Clinical Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3434 B 34th St, Lubbock, Texas |
| Authorized Official Name and Position | Chris Hobart (MANAGER) |
| Authorized Official Contact | 8069931176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Caprock Clinical Services Llc 3434 B 34th St Lubbock TX 79410 Ph: () - | Caprock Clinical Services Llc 3434 B 34th St Lubbock TX 79410 Ph: (806) 300-6156 |
| NPI Number | 1851982292 |
|---|---|
| Provider Enumeration Date | 01/28/2021 |
| Last Update Date | 03/25/2022 |
| Medicare PECOS PAC ID | 8022423946 |
|---|---|
| Medicare Enrollment ID | O20210226000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851982292 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Laura Purdy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1093058463 PECOS PAC ID: 9133556624 Enrollment ID: I20210224002559 |
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