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Organization
UMC PHYSICIANS
Active
Organization
UMC PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARCO GUARDIOLA (MANAGING DIRECTOR, BUSINESS SERVICE)
(806) 761-0333
Entity
Organization
Contact information
Practice address
5219 CITY BANK PKWY STE 135, LUBBOCK, TX 79407-3595
(806) 761-0333
(806) 785-7685
Mailing address
5219 CITY BANK PKWY, SUITE 160, LUBBOCK, TX 79407-3544
(806) 761-0333
(806) 785-7685
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RG0100X
Gastroenterology Physician
—
—
208000000X
Pediatrics Physician
—
—
363A00000X
Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U84U
BCBS
TX
05
—
079877902
—
TX
01
—
CD2498
RAILROAD MEDICARE
TX
05
—
L0376
—
NM
Enumeration date
06/21/2006
Last updated
09/08/2025
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