CASSIE FULLINGIM PATZIG (NPI# 1699945253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699945253 |
| Entity Type | Individual |
| Full Name | CASSIE FULLINGIM PATZIG |
| Credential | OTR |
| Practice Address |
6110 Nashville Ave Lubbock TX 79413-5216 |
| Mailing Address |
5407 4th St Suite F Lubbock TX 79416-4348 |
| Practice Telephone | 8067920604 |
| Practice Fax Number | 8067920604 |
| Mailing Telephone | 8067913399 |
| Mailing Fax Number | 8067913934 |
| Enumeration Date | 2008-03-10 |
| Last Update Date | 2014-02-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
112546 | TX | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
112546 | TX | Ambulatory Health Care Facilities |
| Street Address |
6110 NASHVILLE AVE |
| City | LUBBOCK |
| State | TX |
| Zip Code | 79413-5216 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194226654 | Heritage Birth Center, LLC | Clinic/Center | 3410 Knoxville Ave, Lubbock, TX 79413 | 2018-02-21 |
| 1992216071 | Leah Beth Deboard | Counselor | 6906 Freemont Ave, Lubbock, TX 79413 | 2017-10-17 |
| 1003357518 | Emmy Lu Henley | Dietitian, Registered | 6520 University Ave, Suite 5, Lubbock, TX 79413 | 2017-03-16 |
| 1730635129 | Katy Rebecca-franklin Poff | Dietitian, Registered | 7008 Indiana Avenue, Suite A, Lubbock, TX 79413 | 2016-08-26 |
| 1982074340 | Katricia Collins | Speech-Language Pathologist | 3403 40th St, Lubbock, TX 79413 | 2015-09-29 |
| 1750771937 | Caprock Compounding Pharmacy Inc. | Pharmacy | 3007 50th Street, Lubbock, TX 79413 | 2015-01-27 |
| 1083010250 | Max Manley | Counselor | 3312 38th St., Lubbock, TX 79413 | 2014-11-14 |
| 1124326566 | Melissa Mccauley | Midwife | 3609 38th Street, Lubbock, TX 79413 | 2011-03-09 |
| 1619138880 | Myles Freeman Sadler | Dentist | 3315 - 64th Street, Lubbock, TX 79413 | 2008-06-20 |
| 1316121320 | Michael Daniel Gomez | Psychologist | 6610 Quaker Ave, Lubbock, TX 79413 | 2007-12-27 |
| Find all providers in zip 79413 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1740239938 | Texas Tech Physicians Associates At Lubbock | Clinic/Center | 3601 4th St, Ms 8105, Lubbock, TX 79430-8105 | 2006-05-08 |
| 1548219827 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Ste 4a100, Lubbock, TX 79430-0002 | 2006-05-06 |
| 1083663363 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Room 1c143, Lubbock, TX 79430-0002 | 2006-05-06 |
| 1538118823 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Room 4c201, Lubbock, TX 79430-0002 | 2006-05-06 |
| 1356390645 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Lubbock, TX 79430-9903 | 2006-05-06 |
| 1518916808 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Room 3a105, Lubbock, TX 79430-0002 | 2006-05-06 |
| 1427007715 | Texas Tech University Health Sciences Center Lubbock | Clinic/Center | 3601 4th St, Lubbock, TX 79430 | 2006-05-06 |
| 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.