| High Plains Primary Care | |
|
5713 82nd St Lubbock TX 79424-2633 | |
| (806) 993-6560 | |
| (806) 993-6565 |
| Full Name | High Plains Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 5713 82nd St, Lubbock, Texas |
| Authorized Official Name and Position | Melissa Lorraine Smith (DIRECTOR) |
| Authorized Official Contact | 8069936560 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| High Plains Primary Care 5713 82nd St Lubbock TX 79424-2633 Ph: (806) 993-6560 | High Plains Primary Care 5713 82nd St Lubbock TX 79424-2633 Ph: (806) 993-6560 |
| NPI Number | 1891215711 |
|---|---|
| Provider Enumeration Date | 06/21/2017 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 1557632569 |
|---|---|
| Medicare Enrollment ID | O20170810000137 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891215711 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | L8194 (Texas) | Primary |
| Provider Name | Derek I Skinner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1255394920 PECOS PAC ID: 8224011580 Enrollment ID: I20040609000563 |
| Provider Name | Joanna W Castaneda |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467831925 PECOS PAC ID: 9537474267 Enrollment ID: I20150810002834 |
| Provider Name | Jessica R Martinez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790239168 PECOS PAC ID: 4981986056 Enrollment ID: I20170125001152 |
| Provider Name | Tonya Suzanne Alexander |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1700420296 PECOS PAC ID: 8426485764 Enrollment ID: I20200225002711 |
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