TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK (NPI# 1356390645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356390645 |
| Entity Type | Organization |
| Organization Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK |
| Other Organization Name | TTUHSC/GASTROENTEROLOGY |
| Practice Address |
3601 4th St Lubbock TX 79430-9903 |
| Mailing Address |
Po Box 27476 Salt Lake City UT 84127-0476 |
| Practice Telephone | 8067433150 |
| Practice Fax Number | 8067433168 |
| Mailing Telephone | 8067434263 |
| Mailing Fax Number | 8067432787 |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2019-10-01 |
| Authorized Official Name | BRENT MAJORS (ASSISTANT DEAN FINANCE/ADMIN) |
| Authorized Official Telephone | 8067431830 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities | ||
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 131062503 | 05 | |
| TX | 140327142 | 05 | |
| NM | G1217 | 05 | |
| TX | BC/BS | 00DG43 | 01 |
| Other Name | Type Code |
|---|---|
| TTUHSC/Gastroenterology | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861904898 | Texas Tech University Health Sciences Center Lubbock | Durable Medical Equipment & Medical Supplies | 808 Joliet Ave Unit 210, Lubbock, TX 79415-1158 | 2017-10-31 |
| 1164979142 | Texas Tech University Health Sciences Center Lubbock | Psychiatry & Neurology | 1008 Canton Ave, Room 018bf, Lubbock, TX 79409-3132 | 2016-09-07 |
| 1972801223 | Texas Tech University Health Sciences Center Lubbock | Optometrist | 4004 82nd St Bldg 200, Lubbock, TX 79423-1900 | 2011-03-10 |
| 1245289537 | Texas Tech University Health Sciences Center Lubbock | Orthopaedic Surgery | 3601 4th St Fl 4, Lubbock, TX 79430 | 2006-05-06 |
| 1528621240 | Texas Tech University Health Sciences Center Lubbock | Counselor | 3601 4th St, Suite 3b302, Lubbock, TX 79430-6225 | 2019-04-18 |
| 1932611969 | Texas Tech University Health Sciences Center Lubbock | Durable Medical Equipment & Medical Supplies | 4102 24th St Ste 507, Lubbock, TX 79410-1805 | 2017-10-31 |
| 1336369669 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Lubbock, TX 79430-0002 | 2007-04-27 |
| 1053458026 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Ste 2a100, Lubbock, TX 79430-0002 | 2007-01-31 |
| 1538239769 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Lubbock, TX 79430-0002 | 2006-11-08 |
| 1548219827 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Ste 4a100, Lubbock, TX 79430-0002 | 2006-05-06 |
| Street Address |
3601 4TH ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79430-9903 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073516993 | Viviane Mamlok | Pathology | 3601 4th St, 1a115, Lubbock, TX 79430-0002 | 2005-05-24 |
| 1104436252 | Kanak N/a Parmar | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-08-04 |
| 1407465115 | Donald Wayne King Jr. | Nurse Anesthetist, Certified Registered | 3601 4th St, Lubbock, TX 79430-0002 | 2020-07-28 |
| 1588288674 | Hillary Powers | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-03 |
| 1215551692 | Amanda R Edinger | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-02 |
| 1487278966 | Daniel Elling Brown | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-6211 | 2020-06-01 |
| 1588288013 | Fabiana Monte Alegre Olmos Fernandez | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1154945574 | Alex Wilkins | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1720602253 | Amanda Lee Huggett | Student in an Organized Health Care Education/Training Program | 3601 4th St, Lubbock, TX 79430-0002 | 2020-06-01 |
| 1609490192 | Zeyad Saeed Amr Elharabi | Student in an Organized Health Care Education/Training Program | 3601 4th St, Department of Internal Medicine, Lubbock, TX 79430-0002 | 2020-06-01 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730702473 | Emily Bouffard | Student in an Organized Health Care Education/Training Program | 3601 4th Street Mail Stop 8143, Lubbock, TX 79430 | 2020-05-27 |
| 1891350310 | Erin Leigh Burton | Student in an Organized Health Care Education/Training Program | 3601 Fourth Street, Department of Surgery Ms 8312, Lubbock, TX 79430 | 2019-05-09 |
| 1851861439 | Zachery Brian Sneed | Counselor | 3b310, 3601 4th St Stop 6225, Lubbock, TX 79430 | 2018-11-27 |
| 1831683481 | Swagat Parajulee | Student in an Organized Health Care Education/Training Program | 3601 4th St., Stop 9410, Office 4b076, Lubbock, TX 79430 | 2018-06-18 |
| 1649711904 | William David Boothe Jr. | Dermatology | 3601 4th St Stop 6211, Lubbock, TX 79430 | 2017-03-19 |
| 1982144945 | Kazutaka Araki | Specialist/Technologist | 3601, 4th St, Lubbock, TX 79430 | 2017-02-24 |
| 1659725125 | Thomas Gregory Wyatt | Student in an Organized Health Care Education/Training Program | 3601 4th St Rm 3a122b, Lubbock, TX 79430 | 2016-04-20 |
| 1619391760 | Chinyere Mbagwu | General Practice | 3601 4th St # Ms 8143, Lubbock, TX 79430 | 2014-02-10 |
| 1982044111 | Eileen Mary Sprys | Family Medicine | 3601 4th St., Stop 8143, Lubbock, TX 79430 | 2013-07-02 |
| 1205196243 | Hilmi Alam | Family Medicine | Department of Family & Community Medicine, 3601 4th Street, Stop 8143, Lubbock, TX 79430 | 2012-05-24 |
| Find all providers in zip 79430 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437446853 | Attar Professional Association | Internal Medicine | 3425 22nd Pl, Lubbock, TX 79410-1313 | 2011-07-06 |
| 1982710075 | Monzer Attar | Internal Medicine | 3425 22nd Place, Lubbock, TX 79410 | 2006-08-22 |
| 1396757233 | Hamed Abdulsalam Shabaneh Al-tamimi | Internal Medicine | 3502 9th St Ste 270, Lubbock, TX 79415-5305 | 2006-08-12 |
| 1962458075 | Steven C Block | Internal Medicine | 3610 24th St, Lubbock, TX 79410-2014 | 2006-05-26 |
| 1730147315 | Justin Harold Mccarthy | Internal Medicine | 2424 50th St Rm 100, Lubbock, TX 79412-2556 | 2006-05-03 |
| 1366438566 | Kumarapillai Narendran | Internal Medicine | 3712 22nd St, Lubbock, TX 79410-1312 | 2005-09-22 |
| 1295734424 | Houssam Al Kharrat | Internal Medicine | 5115 80th St, Lubbock, TX 79424-3017 | 2005-07-19 |
| 1356979397 | Lubbock Gastroenterology & Liver Associates Pllc | Internal Medicine | 4505 82nd St Ste 5, Lubbock, TX 79424-3219 | 2020-03-27 |
| 1427690981 | Sameer Islam Md Pa | Internal Medicine | 3502 9th St Ste 360, Lubbock, TX 79415-5304 | 2019-10-16 |
| 1871080614 | Matthew P. Soape Md Pa | Internal Medicine | 3814 22nd Pl, Lubbock, TX 79410-1118 | 2018-04-17 |
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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.