JUSTIN LADELL HARRISON


Address: 3506 21st St, Ste 203, Lubbock, TX 79410-1212
Phone: 8067254900

JUSTIN LADELL HARRISON (NPI# 1366452609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366452609
Entity Type Individual
Full Name JUSTIN LADELL HARRISON
Credential PA
Practice Address 3506 21st St
Ste 203
Lubbock
TX 79410-1212
Mailing Address 3420 22nd Pl
Lubbock
TX 79410-1314
Practice Telephone 8067254900
Practice Fax Number 8067237073
Mailing Telephone 8067257800
Mailing Fax Number 8067236532
Enumeration Date 2006-08-09
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant TEMPORARY TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers JUSTIN HARRISON

NPI Name Taxonomy Address Enumeration
1407406861 Justin Harrison Nurse Anesthetist, Certified Registered 620 Skyline Dr, Jackson, TN 38301-3923 2019-09-18
1104279892 Justin Harrison Nurse Anesthetist, Certified Registered 810 Saint Vincents Dr, Birmingham, AL 35205-1601 2016-07-18

Office Location

Street Address 3506 21ST ST
STE 203
City LUBBOCK
State TX
Zip Code 79410-1212

Providers in the same location

NPI Name Taxonomy Address Enumeration
1306849419 Kenneth Edward Kruczek Internal Medicine 3506 21st St, Suite 605, Lubbock, TX 79410-1212 2005-05-23
1134661358 Fred Gregory Sebastian Iv Physician Assistant 3506 21st St, Suite 507, Lubbock, TX 79410-1212 2016-11-07
1295284396 Caitlin Sarah Blair Nurse Practitioner 3506 21st St, Ste 607, Lubbock, TX 79410-1212 2016-09-29
1851744957 Brandy Gilbrett Trevino Nurse Practitioner 3506 21st St, Ste. 507, Lubbock, TX 79410-1212 2016-07-13
1366848541 Gabriella Trevino Davis Nurse Practitioner 3506 21st St, Lubbock, TX 79410-1212 2014-11-14
1760817324 Monica Caraveo Pilip Nurse Practitioner 3506 21st St, Suite 203, Lubbock, TX 79410-1212 2013-09-13
1770829012 Susan Doctolero Nurse Practitioner 3506 21st St, Suite 302, Lubbock, TX 79410-1212 2012-12-13
1164798989 Amy D'ann Gordon Nurse Practitioner 3506 21st St, Suite 607, Lubbock, TX 79410-1212 2012-03-27
1164791257 Sharronda Richawn Bradford Nurse Practitioner 3506 21st St, Suite605, Lubbock, TX 79410-1212 2011-12-20
1477821106 Theophilus O Olumese Hospitalist 3506 21st St, Suite 605, Lubbock, TX 79410-1212 2011-12-08
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316294408 Ronald Caporale Physician Assistant 1701 50th Street, Lubbock, TX 79412 2012-08-08
1699002675 Jamie Fletcher Physician Assistant 5415 114th St, Lubbock, TX 79424 2009-11-11
1710160700 Jessica Ferguson Physician Assistant 3606 21st St Ste 200, Lubbock, TX 79410-1225 2007-12-12
1104958560 Janice Hallford Lampe Physician Assistant 6048 Marsha Sharp Fwy, Lubbock, TX 79407-3726 2007-03-12
1699819953 Holly Jen Tyson Physician Assistant 3811 24th St, Lubbock, TX 79410-1813 2007-02-19
1154496974 Kathleen Jo Marcum Physician Assistant 3801 21st St, Suite 200, Lubbock, TX 79410-1006 2006-11-21
1336252220 Gustavo Alonso Bendeck Physician Assistant 4010 22nd St, Lubbock, TX 79410-1116 2006-08-16
1316903875 Kristina Lee Physician Assistant 3904 101st St, Lubbock, TX 79423-5725 2006-04-25
1467416636 David Anthony King Physician Assistant 3514 21st Street, Lubbock, TX 79410 2006-04-14
1346246634 Phyllis Rose Peterson Physician Assistant Ttuhsc Dept of Psychiatry, 3601 4th St., Ms 8103, Lubbock, TX 79430-8103 2005-06-22
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Competitor

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City LUBBOCK
Zip Code 79410

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Dataset Information

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.

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