Samuel A Hale Jr. (NPI# 1851369185, PAC ID# 0143274258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
Nation Provider ID (NPI) | 1851369185 |
PAC ID by PECOS | 0143274258 |
Professional Enrollment ID | I20050310000577 |
Full Name | Samuel A Hale Jr. |
Address |
4903 82nd St Suite 10 Lubbock TX 79424-3123 |
Phone Number | 8067946886 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF TEXAS MEDICAL SCHOOL AT SAN ANTONIO |
Graduation Year | 1980 |
Primary Specialty | FAMILY MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
450040 | COVENANT MEDICAL CENTER |
453306 | COVENANT CHILDRENS HOSPITAL |
Address | Phone | Organization |
---|---|---|
4903 82nd St, Suite 10, Lubbock, TX 79424-3123 | 8067946886 |
Street Address |
4903 82ND ST SUITE 10 |
City | LUBBOCK |
State | TX |
Zip | 79424-3123 |
Name | Specialty | Organization | Address |
---|---|---|---|
Travis G King | Family Medicine | Umc Physicians | 7301 Milwaukee Ave, Lubbock, TX 79424-0626 |
Angie Maldonado | Nurse Practitioner | Umc Physicians | 7301 Milwaukee Ave, Lubbock, TX 79424-0626 |
Bryan D Harris | Dermatology | Long and Harris Dermatology Pllc | 6102 82nd St, Suite 15, Lubbock, TX 79424-0802 |
Michael Long | Dermatology | Long and Harris Dermatology Pllc | 6102 82nd St, Suite 15, Lubbock, TX 79424-0802 |
Charles E Addington Ii | Family Medicine | Texas Physicians Group | 6102 82nd St, Unit 14, Lubbock, TX 79424-0802 |
Chris H Brown | Physician Assistant | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
Howard Wilbanks Beck | Urology | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
Kanwaljit S Mahal | Urology | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
Patricia K Gutierrez | Nurse Practitioner | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
Girish C Vallabhan | Urology | Lubbock Urology Clinic, LLP | 6102 82nd St, Suite 5, Lubbock, TX 79424-0803 |
Find all physicians in zip 79424 |
City | LUBBOCK |
Zip Code | 79424 |
Specialty | FAMILY MEDICINE |
City + Specialty | LUBBOCK + FAMILY MEDICINE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.