| Joseph J Wolcott, Md Pa | |
|
2002 Oxford Ave Lubbock TX 79410-1025 | |
| (806) 793-8869 | |
| (806) 793-0043 |
| Full Name | Joseph J Wolcott, Md Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 2002 Oxford Ave, Lubbock, Texas |
| Authorized Official Name and Position | Joseph J Wolcott (OWNER) |
| Authorized Official Contact | 8067938869 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Joseph J Wolcott, Md Pa 2002 Oxford Ave Lubbock TX 79410-1025 Ph: (806) 793-8869 | Joseph J Wolcott, Md Pa 2002 Oxford Ave Lubbock TX 79410-1025 Ph: (806) 793-8869 |
| NPI Number | 1942796818 |
|---|---|
| Provider Enumeration Date | 07/03/2018 |
| Last Update Date | 06/21/2023 |
| Medicare PECOS PAC ID | 7810248812 |
|---|---|
| Medicare Enrollment ID | O20181001001056 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942796818 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M8435 (Texas) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
| Provider Name | Joseph J Wolcott |
|---|---|
| Provider Type | Practitioner - Undersea And Hyperbaric Medicine |
| Provider Identifiers | NPI Number: 1114119872 PECOS PAC ID: 5597825372 Enrollment ID: I20081124000570 |
| Provider Name | Eric Isaac Ray |
|---|---|
| Provider Type | Practitioner - Physical Medicine And Rehabilitation |
| Provider Identifiers | NPI Number: 1598965428 PECOS PAC ID: 2365625191 Enrollment ID: I20110331000483 |
| Provider Name | Tanya Robinson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104298801 PECOS PAC ID: 8325340318 Enrollment ID: I20160107002445 |
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