EVERARDO COBOS (NPI# 1194713354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1194713354 |
Entity Type | Individual |
Full Name | EVERARDO COBOS |
Credential | M.D. |
Practice Address |
4515 Marsha Sharp Fwy Lubbock TX 79407-2520 |
Mailing Address |
2804 N Loop 289 Lubbock TX 79415-1410 |
Practice Telephone | 8067447223 |
Practice Fax Number | 8067403325 |
Mailing Telephone | 8067447223 |
Mailing Fax Number | 8806740332 |
Enumeration Date | 2005-10-12 |
Last Update Date | 2014-12-03 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
H3808 | TX | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | FIRSTCARE COMMERCIAL | 110507100 | 01 |
TX | 129952102 | 05 | |
TRIWEST | A018 | 01 | |
TX | 129952101 | 05 | |
TX | 110507101 | 05 | |
NM | 52514 | 05 | |
TX | BC/BS | 89Y650 | 01 |
OK | 100169620A | 05 | |
NM | PRESBYTERIAN COMMERCIAL | 52514 | 01 |
TX | HMO BLUE | 80783Z | 01 |
NM | H2804 | 05 |
Street Address |
4515 MARSHA SHARP FWY |
City | LUBBOCK |
State | TX |
Zip Code | 79407-2520 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1033112560 | Howard P Hurd II | Internal Medicine | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2005-05-30 |
1366081861 | Haley Hart | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2019-12-31 |
1760967640 | Edwin Orlando Guerra | Physician Assistant | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2018-09-26 |
1871096339 | Katrina Foster | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2018-03-12 |
1386091775 | Lauren Wheeler | Physician Assistant | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2016-05-16 |
1922470921 | Amie Brogden | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-10-29 |
1144692823 | Heather Sullivan | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-10-21 |
1104202738 | Morgan Espe | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2015-08-05 |
1184029035 | Karen C Gordy | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2014-11-04 |
1841609013 | Jeffery Farley | Nurse Practitioner | 4515 Marsha Sharp Fwy, Lubbock, TX 79407-2520 | 2014-08-12 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275155731 | Bryce Olson Pt, LLC | Physical Therapist | 6014 45th St Ste C Lubbock, Tx 79407, 6014 45th St Ste C Lubbock, Tx 79407, Lubbock, TX 79407 | 2020-05-07 |
1235762923 | Fnu Sindhuja Gunasekaran | Physical Therapist | 6014 45th Street, Lubbock, TX 79407 | 2020-02-20 |
1770987554 | Amanda Moore | Occupational Therapist | 6548 43rd St, Lubbock, TX 79407 | 2014-10-22 |
1336565639 | Best Eye Visioncare, Pllc | Optometrist | 6020 34th Street, Lubbock, TX 79407 | 2014-03-11 |
1003249210 | Costco Wholesale Corporation | Pharmacy | 6020 34th St, Lubbock, TX 79407 | 2013-08-12 |
1225304686 | Community Health Center of Lubbock, Inc. | Clinic/Center | 5424 19th St Ste 200, Lubbock, TX 79407 | 2012-03-29 |
1023385879 | Medway Medical Equipment IIi LLC | Durable Medical Equipment & Medical Supplies | 3448 W Loop 289, Lubbock, TX 79407 | 2011-11-22 |
1801102553 | Jennifer Hobbs Williams | Nurse Practitioner | 1910 Quaker Ave Ste 101, Lubbock, TX 79407 | 2010-08-19 |
1780901496 | Joni Rodriguez | Counselor | 1611 Ave K, Lubbock, TX 79407 | 2010-04-21 |
1073776860 | Southwest Regional PCr, LLC | Clinical Medical Laboratory | 2002 W Loop 289 Ste 116, Lubbock, TX 79407 | 2008-07-02 |
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Taxonomy Code | 207RH0003X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Hematology & Oncology |
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316900020 | Donald Paul Quick | Internal Medicine | 4101 22nd Place, Lubbock, TX 79410 | 2006-04-11 |
1750607792 | Methodist Children's Hospital | Internal Medicine | 4015 22nd Pl, Lubbock, TX 79410 | 2010-04-15 |
1023233756 | Diane Duyen T Nguyen | Internal Medicine | 602 Indiana Ave, Lubbock, TX 79415-3364 | 2007-04-16 |
1295857720 | Hilal Mahmood Fanasch | Internal Medicine | 602 Indiana Ave, Southwest Cancer Center, Lubbock, TX 79415-3364 | 2007-04-04 |
1689746448 | Davor Vugrin | Internal Medicine | 2232 Indiana Ave, Suite 102, Lubbock, TX 79410-2139 | 2006-11-15 |
1992896633 | Radiation Oncology of The South Plains, P.a. | Internal Medicine | 4002 21st St, Ste A, Lubbock, TX 79410-1135 | 2006-09-27 |
1053329912 | Victoria Joan Dorr | Internal Medicine | 2412 50th St, Lubbock, TX 79412-2504 | 2006-08-04 |
1548215379 | Covenant Health System | Internal Medicine | 4101 22nd Pl, Lubbock, TX 79410-1121 | 2006-05-23 |
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1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
1417485822 | Ahmad Ghorab | Internal Medicine | 1515 Holcombe Blvd #1445, Houston, TX 77030 | 2017-05-30 |
1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
1366981615 | Houston Cancer Treatment Centers Pa. | Internal Medicine | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2017-02-20 |
1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
1245642073 | Juan Francisco Garza | Internal Medicine | 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 | 2014-05-28 |
1124463211 | Oluchi Oke | Internal Medicine | 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 | 2013-05-03 |
1710229323 | Adaeze Nwosu- Iheme | Internal Medicine | 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 | 2013-03-21 |
1144570599 | Gummadi & Desai LLC | Internal Medicine | 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 | 2012-09-13 |
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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.