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Organization
TEXAS TECH PHYSICIAN ASSOCIATES @ LUBBOCK
Active
Organization
TEXAS TECH PHYSICIAN ASSOCIATES @ LUBBOCK
Active
Parent organization
TEXAS TECH PHYSICIAN ASSOCIATES @ LUBBOCK
Other names
TTPA - CRNA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS TECH PHYSICIAN ASSOCIATES @ LUBBOCK
Authorized official
BRENT MAJORS (ASSISTANT DEAN OF FINANCE ADMIN)
(806) 743-1830
Entity
Organization
Contact information
Practice address
3601 4TH ST, STE 1C282, LUBBOCK, TX 79430-8182
(806) 743-7246
(806) 743-7235
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3022HM
HMO BLUE
TX
01
—
CD9207
RAILROAD MEDICARE
TX
Enumeration date
05/03/2007
Last updated
05/21/2009
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