| Lubbock Medical Associates | |
|
3516 22nd Pl Lubbock TX 79410-1316 | |
| (806) 797-3322 | |
| Not Available |
| Full Name | Lubbock Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 3516 22nd Pl, Lubbock, Texas |
| Authorized Official Name and Position | Damon Herbie Hill (PARTNER) |
| Authorized Official Contact | 8067973322 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lubbock Medical Associates 3516 22nd Pl Lubbock TX 79410-1316 Ph: (806) 797-3322 | Lubbock Medical Associates 3516 22nd Pl Lubbock TX 79410-1316 Ph: (806) 797-3322 |
| NPI Number | 1710086566 |
|---|---|
| Provider Enumeration Date | 09/21/2006 |
| Last Update Date | 02/04/2010 |
| Medicare PECOS PAC ID | 7315914629 |
|---|---|
| Medicare Enrollment ID | O20040915001034 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710086566 | NPI | - | NPPES |
| 0018LT | Other | BLUE CROSS BLUE SHIELD | |
| 1685141 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | F6744 (Texas) | Primary |
| 207R00000X | Internal Medicine | K9158 (Texas) | Secondary |
| Provider Name | Traci Rodriguez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659301471 PECOS PAC ID: 6709775570 Enrollment ID: I20040311000655 |
| Provider Name | Hima B Ravi |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1326147158 PECOS PAC ID: 8921075235 Enrollment ID: I20040916000185 |
| Provider Name | Damon H Hill |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1427148352 PECOS PAC ID: 5294702502 Enrollment ID: I20040916000207 |
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