WEST TEXAS PAIN INSTITUTE, LLC (NPI# 1639370638) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639370638 |
| Entity Type | Organization |
| Organization Name | WEST TEXAS PAIN INSTITUTE, LLC |
| Other Organization Name | WEST TEXAS SURGICENTER |
| Practice Address |
4316 23rd St Lubbock TX 79410-1812 |
| Practice Telephone | 8067914588 |
| Mailing Telephone | 8067914588 |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MICHAEL OLIVA (MANGER) |
| Authorized Official Telephone | 8062394488 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0800033644 | TX | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| West Texas Surgicenter | Other Name - Individual/Organization |
| Street Address |
4316 23RD ST |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79410-1812 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568429504 | Juan Y Kurdi | Internal Medicine | 4316 23rd St, Lubbock, TX 79410-1812 | 2006-04-26 |
| 1659853620 | Maria J Cortez | Nurse Practitioner | 4316 23rd St, Lubbock, TX 79410-1812 | 2018-09-05 |
| 1164952172 | Mathew Julius White | Nurse Practitioner | 4316 23rd St, Lubbock, TX 79410-1812 | 2017-06-13 |
| 1083165906 | Teshara Perez | Nurse Practitioner | 4316 23rd St, Lubbock, TX 79410 | 2016-10-14 |
| 1982063269 | Caprock Cardiovascular Center, LLP | Internal Medicine | 4316 23rd St, Lubbock, TX 79410-1812 | 2016-02-16 |
| 1831484773 | Colbert Perez | Internal Medicine | 4316 23rd St, Lubbock, TX 79410-1812 | 2011-06-17 |
| 1073779427 | Kaye R Mclain | Physician Assistant | 4316 23rd St, Lubbock, TX 79410-1812 | 2008-08-05 |
| 1427217249 | Center for Pain Mangement | Clinic/Center | 4316 23rd St, Lubbock, TX 79410-1812 | 2008-06-06 |
| 1730362377 | Pain Management Services | Clinic/Center | 4316 23rd St, Lubbock, TX 79410-1812 | 2007-12-05 |
| 1083833891 | Aurelio R Cervera | Internal Medicine | 4316 23rd St, Lubbock, TX 79410 | 2007-04-24 |
| Find all providers in the same location | ||||
| 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 |
| 1093895757 | Patrick D Reeves Mdpa | Clinic/Center | 4315 28th Street, Suite 2, Lubbock, TX 79410 | 2006-10-17 |
| 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 |
| 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.