Lubbock Primary Care, Pllc | |
11007 Quaker Ave Lubbock TX 79424-8317 | |
(806) 701-4040 | |
(806) 701-4041 |
Full Name | Lubbock Primary Care, Pllc |
---|---|
Speciality | Family Medicine |
Location | 11007 Quaker Ave, Lubbock, Texas |
Authorized Official Name and Position | Christopher Lane Shanklin (MD) |
Authorized Official Contact | 8067014040 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Lubbock Primary Care, Pllc 11007 Quaker Ave Lubbock TX 79424-8317 Ph: (806) 701-4040 | Lubbock Primary Care, Pllc 11007 Quaker Ave Lubbock TX 79424-8317 Ph: (806) 701-4040 |
NPI Number | 1679011621 |
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Provider Enumeration Date | 02/09/2017 |
Last Update Date | 04/01/2024 |
Medicare PECOS PAC ID | 1951687946 |
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Medicare Enrollment ID | O20170405001118 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679011621 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | M5920 (Texas) | Primary |
Provider Name | Christopher L Shanklin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1154513182 PECOS PAC ID: 6709951007 Enrollment ID: I20080821000251 |
Provider Name | Amanda J Backlund |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1114153301 PECOS PAC ID: 5294982393 Enrollment ID: I20120824000237 |
Provider Name | Caitlin S Blair |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1295284396 PECOS PAC ID: 0042591315 Enrollment ID: I20161228000333 |
Provider Name | Hillary P Mayers |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417476201 PECOS PAC ID: 4789950486 Enrollment ID: I20171025001003 |
Provider Name | Carlie J Bean |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1750859492 PECOS PAC ID: 3375871189 Enrollment ID: I20190816003083 |
Provider Name | James D Rosson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1043820830 PECOS PAC ID: 6608271002 Enrollment ID: I20210824000851 |
Provider Name | Jacob Timothy Hoffman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1114704483 PECOS PAC ID: 8022465772 Enrollment ID: I20231117000117 |
Provider Name | Wendy Cole |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1821876798 PECOS PAC ID: 5698123529 Enrollment ID: I20231201002978 |
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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 |