Texas Physicians Group | |
4802 N Loop 289 Lubbock TX 79416-3025 | |
(806) 788-0040 | |
Not Available |
Full Name | Texas Physicians Group |
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Speciality | Internal Medicine |
Location | 4802 N Loop 289, Lubbock, Texas |
Authorized Official Name and Position | Jennifer Boyd Baldock (OFFICER AND AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6152345900 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Texas Physicians Group 4802 N Loop 289 Lubbock TX 79416-3025 Ph: (806) 788-0040 | Texas Physicians Group 4802 N Loop 289 Lubbock TX 79416-3025 Ph: (806) 788-0040 |
NPI Number | 1497014369 |
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Provider Enumeration Date | 05/11/2012 |
Last Update Date | 07/23/2021 |
Medicare PECOS PAC ID | 0042476582 |
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Medicare Enrollment ID | O20120727000066 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497014369 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | K5418 (Texas) | Secondary |
207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Primary |
Provider Name | Javier E Sanchez |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1518942226 PECOS PAC ID: 9234125311 Enrollment ID: I20040423000261 |
Provider Name | Gerald Joseph Gallinghouse |
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Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1497730980 PECOS PAC ID: 4880677780 Enrollment ID: I20040611000032 |
Provider Name | Jim O Jenkins |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063544435 PECOS PAC ID: 2163487109 Enrollment ID: I20041201000466 |
Provider Name | Walter C Brogan |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1811069339 PECOS PAC ID: 5092759613 Enrollment ID: I20050615000123 |
Provider Name | Charles E Addington |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1508837790 PECOS PAC ID: 8729010962 Enrollment ID: I20050908000363 |
Provider Name | James Grattan |
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Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1841293370 PECOS PAC ID: 9436054327 Enrollment ID: I20060814000221 |
Provider Name | Marbella Z Tran |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1215129705 PECOS PAC ID: 3779639992 Enrollment ID: I20090914000149 |
Provider Name | M Alan Sharif |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1013910546 PECOS PAC ID: 7810895083 Enrollment ID: I20100210000426 |
Provider Name | Roberto E Solis |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1477556900 PECOS PAC ID: 5991600884 Enrollment ID: I20100210000530 |
Provider Name | Shamima Sattar |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1417140641 PECOS PAC ID: 7416045422 Enrollment ID: I20100319000241 |
Provider Name | Mounir Borno |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1578566006 PECOS PAC ID: 3274438163 Enrollment ID: I20100327000488 |
Provider Name | Paul A Overlie |
---|---|
Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
Provider Identifiers | NPI Number: 1598769275 PECOS PAC ID: 1658276548 Enrollment ID: I20100429000415 |
Provider Name | Shaili K Felton |
---|---|
Provider Type | Practitioner - Endocrinology |
Provider Identifiers | NPI Number: 1689791949 PECOS PAC ID: 5395933394 Enrollment ID: I20101216001151 |
Provider Name | Belissa Zamora |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1194819326 PECOS PAC ID: 5991972226 Enrollment ID: I20120126000804 |
Provider Name | Carlos Rizo Patron |
---|---|
Provider Type | Practitioner - Cardiac Electrophysiology |
Provider Identifiers | NPI Number: 1962568642 PECOS PAC ID: 2961307855 Enrollment ID: I20120509000443 |
Provider Name | Casey Lynn Ross |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649523861 PECOS PAC ID: 8527219104 Enrollment ID: I20121107000347 |
Provider Name | Kyzandre L Griffith |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1629412598 PECOS PAC ID: 0446492268 Enrollment ID: I20130807000681 |
Provider Name | Jennifer Skero |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770909665 PECOS PAC ID: 5193048288 Enrollment ID: I20141222000681 |
Provider Name | Mika Polly |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417326547 PECOS PAC ID: 6709195480 Enrollment ID: I20151020001419 |
Provider Name | Amy Hopkins |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1902358559 PECOS PAC ID: 7618259045 Enrollment ID: I20170120000193 |
Provider Name | John Hodges |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1063805737 PECOS PAC ID: 3870883838 Enrollment ID: I20191115001468 |
Provider Name | Sarah Liles |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1285861047 PECOS PAC ID: 5092855734 Enrollment ID: I20200106001104 |
Provider Name | Alicia Michelle Powell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1417596438 PECOS PAC ID: 6901233121 Enrollment ID: I20200228001904 |
Provider Name | Kendra Rayne Townley |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1770296766 PECOS PAC ID: 5294173928 Enrollment ID: I20240401001868 |
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