Lone Star Total Health | |
6102 82nd St Ste 13b Lubbock TX 79424-0840 | |
(806) 283-5844 | |
(806) 553-7337 |
Full Name | Lone Star Total Health |
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Speciality | Family Medicine |
Location | 6102 82nd St Ste 13b, Lubbock, Texas |
Authorized Official Name and Position | Christy Lee (PARTNER) |
Authorized Official Contact | 8062835844 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lone Star Total Health Po Box 64154 Lubbock TX 79464-4154 Ph: (806) 283-5844 | Lone Star Total Health 6102 82nd St Ste 13b Lubbock TX 79424-0840 Ph: (806) 283-5844 |
NPI Number | 1932697604 |
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Provider Enumeration Date | 04/27/2018 |
Last Update Date | 08/12/2022 |
Medicare PECOS PAC ID | 8527319912 |
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Medicare Enrollment ID | O20180925000369 |
Identifier | Type | State | Issuer |
---|---|---|---|
1932697604 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jason T Nurnberg |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1013955533 PECOS PAC ID: 8628163276 Enrollment ID: I20070927000769 |
Provider Name | Christy Renee Lee |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518396365 PECOS PAC ID: 6406082106 Enrollment ID: I20131203000763 |
Provider Name | Jill Cheri Holland Cook |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1104401256 PECOS PAC ID: 2961811963 Enrollment ID: I20210504000485 |
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