| West Texas Digestive Disease Center, Pa | |
|
5115 80th St Lubbock TX 79424-3017 | |
| (806) 788-4368 | |
| (806) 788-4369 |
| Full Name | West Texas Digestive Disease Center, Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 5115 80th St, Lubbock, Texas |
| Authorized Official Name and Position | Houssam Al Kharrat (PRESIDENT) |
| Authorized Official Contact | 8067884368 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Texas Digestive Disease Center, Pa Po Box 93128 Lubbock TX 79493-3128 Ph: (806) 788-4368 | West Texas Digestive Disease Center, Pa 5115 80th St Lubbock TX 79424-3017 Ph: (806) 788-4368 |
| NPI Number | 1720299381 |
|---|---|
| Provider Enumeration Date | 05/25/2007 |
| Last Update Date | 03/15/2023 |
| Medicare PECOS PAC ID | 7416043161 |
|---|---|
| Medicare Enrollment ID | O20071011000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720299381 | NPI | - | NPPES |
| Provider Name | Houssam Al Kharrat |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1295734424 PECOS PAC ID: 3577534528 Enrollment ID: I20040803001245 |
| Provider Name | Steven Clark Block |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1962458075 PECOS PAC ID: 8921146804 Enrollment ID: I20100825000376 |
| Provider Name | Susan Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174868376 PECOS PAC ID: 6103956891 Enrollment ID: I20151106002254 |
| Provider Name | William A Shaver |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1598721938 PECOS PAC ID: 1850333535 Enrollment ID: I20160330000190 |
| Provider Name | Amy Hopkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358559 PECOS PAC ID: 7618259045 Enrollment ID: I20170120000193 |
| Provider Name | Marygrace Johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174066799 PECOS PAC ID: 6204118136 Enrollment ID: I20170128000384 |
| Provider Name | Natalie Sell |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1639617160 PECOS PAC ID: 6406139393 Enrollment ID: I20170220002867 |
| Provider Name | Nzonguti Ekangaki |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1013489764 PECOS PAC ID: 5890036610 Enrollment ID: I20190404001252 |
| Provider Name | Kevin Wayne Miller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205494499 PECOS PAC ID: 1355676479 Enrollment ID: I20190711002806 |
| Provider Name | Emma C Veld |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1619355989 PECOS PAC ID: 3274843099 Enrollment ID: I20190905001814 |
| Provider Name | Christopher Ryan Felan |
|---|---|
| Provider Type | Practitioner - Certified Registered Nurse Anesthetist (crna) |
| Provider Identifiers | NPI Number: 1740752427 PECOS PAC ID: 6002240629 Enrollment ID: I20200107000769 |
Caprock Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3802 21st St, C, Lubbock, TX 79410 Phone: 806-791-5140 Fax: 806-791-0454 | |
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 |