# LUBBOCK INTEGRATED MEDICAL INSTITUTE PLLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790130169
- **Authorized official:** DR. CHRISTOPHER ROSE M.D. (OWNER)
- **Authorized official phone:** (806) 765-8443

## Contact information

- **Practice address:** 2630 26TH ST, LUBBOCK, TX 79410-2220
- **Practice address phone:** (806) 765-8443
- **Mailing address:** 2630 26TH ST, LUBBOCK, TX 79410-2220
- **Mailing address phone:** (806) 765-8443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | K7879 | TX | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 12/21/2021