| Lubbock Gastroenterology & Liver Associates Pllc | |
|
4505 82nd St Ste 5 Lubbock TX 79424-3219 | |
| (806) 696-4440 | |
| (806) 696-4441 |
| Full Name | Lubbock Gastroenterology & Liver Associates Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4505 82nd St Ste 5, Lubbock, Texas |
| Authorized Official Name and Position | Rafiul Islam (OWNER) |
| Authorized Official Contact | 8066964440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubbock Gastroenterology & Liver Associates Pllc 4505 82nd St Ste 5 Lubbock TX 79424-3219 Ph: (806) 696-4440 | Lubbock Gastroenterology & Liver Associates Pllc 4505 82nd St Ste 5 Lubbock TX 79424-3219 Ph: (806) 696-4440 |
| NPI Number | 1356979397 |
|---|---|
| Provider Enumeration Date | 03/27/2020 |
| Last Update Date | 01/12/2021 |
| Medicare PECOS PAC ID | 0941630966 |
|---|---|
| Medicare Enrollment ID | O20200415001281 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356979397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | John D Teague |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1588969588 PECOS PAC ID: 9931386604 Enrollment ID: I20110606000534 |
| Provider Name | Rafiul S Islam |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1043473820 PECOS PAC ID: 5698953495 Enrollment ID: I20110816000813 |
| Provider Name | Kendall D Wines |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366729311 PECOS PAC ID: 0840450052 Enrollment ID: I20120326000756 |
| Provider Name | Wesley Foster |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1700219631 PECOS PAC ID: 8820226590 Enrollment ID: I20140102001670 |
| Provider Name | Sabino J Lopez |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1285059212 PECOS PAC ID: 2961634746 Enrollment ID: I20140409001324 |
| Provider Name | Clinton Risdon |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1245696178 PECOS PAC ID: 5991009508 Enrollment ID: I20160202001101 |
| Provider Name | Maksim Efremov |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1801250733 PECOS PAC ID: 0648578385 Enrollment ID: I20160414000276 |
| Provider Name | Angie Maldonado |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609309194 PECOS PAC ID: 1850678269 Enrollment ID: I20170511001217 |
| Provider Name | Elena Marta Sheets |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497260038 PECOS PAC ID: 5991063596 Enrollment ID: I20180102001513 |
| Provider Name | Anthony Raymond Fuller |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1073085999 PECOS PAC ID: 2466799127 Enrollment ID: I20190204001297 |
| Provider Name | Emma C Veld |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619355989 PECOS PAC ID: 3274843099 Enrollment ID: I20190905001814 |
| Provider Name | Karla Alexandra Cervantes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386206977 PECOS PAC ID: 6103245618 Enrollment ID: I20201002001101 |
Caprock Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3802 21st St, C, Lubbock, TX 79410 Phone: 806-791-5140 Fax: 806-791-0454 | |
Community Health Center Of Lubbock, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1318 Broadway, Lubbock, TX 79401 Phone: 806-765-2611 Fax: 806-767-0589 | |
Medical House Call Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10907 Quaker Ave, Lubbock, TX 79424 Phone: 806-771-7798 Fax: 806-687-9299 | |
Epiphany Medical Services Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 13810 Quaker Ave, Lubbock, TX 79424 Phone: 806-576-3856 Fax: 806-305-3348 | |
Holly S. Stewart, Md Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3502 9th St, Suite 360, Lubbock, TX 79415 Phone: 806-744-7764 Fax: 806-744-7761 | |
Falcon Healthcare, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3223 S Loop 289 Ste 210, Corporate Office, Lubbock, TX 79423 Phone: 806-771-0995 Fax: 806-771-3813 | |
Ttuhsc - Dme Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3601 4th St, Ste 2a100, Lubbock, TX 79430 Phone: 806-743-2898 Fax: 806-743-2787 |