| Texas Dshs - Hsr 1 Lubbock | |
|
6302 Lola Lubbock TX 79424 | |
| (806) 744-3577 | |
| (806) 783-6475 |
| Full Name | Texas Dshs - Hsr 1 Lubbock |
|---|---|
| Speciality | Clinic/center - Public Health, State Or Local |
| Location | 6302 Lola, Lubbock, Texas |
| Authorized Official Name and Position | Barry Wilson (DEPUTY REGIONAL DIRECTOR) |
| Authorized Official Contact | 8067443577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Texas Dshs - Hsr 1 Lubbock 1100 W. 49th St. Austin TX 78756 Ph: (806) 458-7111 | Texas Dshs - Hsr 1 Lubbock 6302 Lola Lubbock TX 79424 Ph: (806) 744-3577 |
| NPI Number | 1578639647 |
|---|---|
| Provider Enumeration Date | 11/28/2006 |
| Last Update Date | 08/31/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578639647 | NPI | - | NPPES |
| 136480402 | Medicaid | TX | |
| 138359805 | Medicaid | TX | |
| 136368102 | Medicaid | TX | |
| 135248602 | Medicaid | TX | |
| 136129702 | Medicaid | TX | |
| 136130504 | Medicaid | TX | |
| 138359808 | Medicaid | TX | |
| 133560602 | Medicaid | TX |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0905X | Clinic/center - Public Health, State Or Local | (Texas) | Secondary |
| 261QP0905X | Clinic/center - Public Health, State Or Local | H4610 (Texas) | Primary |
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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 |