PATRICK D REEVES MDPA (NPI# 1093895757) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093895757 |
| Entity Type | Organization |
| Organization Name | PATRICK D REEVES MDPA |
| Other Organization Name | WILSON SURGICENTER |
| Practice Address |
4315 28th Street Suite 2 Lubbock TX 79410 |
| Practice Telephone | 8067922104 |
| Practice Fax Number | 8067922134 |
| Mailing Telephone | 8067922104 |
| Mailing Fax Number | 8067922134 |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-06-30 |
| Authorized Official Name | MR. PATRICK DARREN REEVES (OWNER) |
| Authorized Official Telephone | 8067922104 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
007928 | TX | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 159707201 | 05 |
| Other Name | Type Code |
|---|---|
| Wilson Surgicenter | Doing Business As Name - Organization |
| Street Address |
4315 28TH STREET SUITE 2 |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548878267 | Covenant Medical Center | Clinic/Center | 3615 19th, Lifestyle Centre-east Parking Garage, Lubbock, TX 79410 | 2020-07-20 |
| 1669038626 | Hub City Anesthesia | Nurse Anesthetist, Certified Registered | 3416 22nd Street, Lubbock, TX 79410 | 2019-05-15 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871032698 | Lezlee Berry | Pharmacist | 3615 19th Street, Lubbock, TX 79410 | 2017-02-13 |
| 1376914101 | Matthew Cotton | Nurse Practitioner | 2424 Quaker Ave, Lubbock, TX 79410 | 2015-10-20 |
| 1841534864 | Frank Nwabugwu | Pharmacist | 4120 34th Street, Lubbock, TX 79410 | 2012-11-15 |
| 1689954794 | Dharmendra Kumar | Pediatrics | Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 | 2011-08-19 |
| 1518277177 | T.r.m. Rao, M.d., P.a. | Colon & Rectal Surgery | 3809 22nd Street, Suite C, Lubbock, TX 79410 | 2010-10-18 |
| 1700196672 | Hanford Consultations P.a. | Family Medicine | 4000 22nd Place Suite 100, Lubbock, TX 79410 | 2010-10-13 |
| 1336452598 | Amanda Collins | Specialist | 4801 34th Street, Lubbock, TX 79410 | 2010-07-16 |
| Find all providers in zip 79410 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639682503 | South Plains Surgery Center LLC | Clinic/Center | 4412 6th Street, Lubbock, TX 79416 | 2017-11-14 |
| 1912447418 | Lubbock Surgery Center, LLC | Clinic/Center | 3416 22nd St, Lubbock, TX 79410 | 2017-03-02 |
| 1871608216 | Covenant High Plains Surgery Center, LLC | Clinic/Center | 3610 22nd Street, Lubbock, TX 79410-1307 | 2006-08-19 |
| 1932104064 | Northstar Surgical Center Lp | Clinic/Center | 4640 N Loop 289, Lubbock, TX 79416-2423 | 2005-06-15 |
| 1669909404 | Lubbock Interventional Nephrology Associates | Clinic/Center | 1126 Slide Rd, Suite # 1, Lubbock, TX 79416-5462 | 2017-05-11 |
| 1992248512 | Lubbock Vascular Access Center | Clinic/Center | 1126 Slide Rd, Suite 1, Lubbock, TX 79416-5462 | 2016-11-30 |
| 1003264425 | Lubbock Plastic Surgery Center, Lp | Clinic/Center | 10105 Quaker Ave, Lubbock, TX 79424-7380 | 2016-05-26 |
| 1134364581 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2008-12-12 |
| 1639370638 | West Texas Pain Institute, LLC | Clinic/Center | 4316 23rd St, Lubbock, TX 79410-1812 | 2007-05-29 |
| 1538245717 | Lubbock County Hospital District | Clinic/Center | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2006-10-31 |
| Find all providers in LUBBOCK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.