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Individual

THOMAS RICHARD WINDISCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3601 21ST ST, LUBBOCK, TX 79410-1229
(806) 791-0399
(806) 791-0373
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
J2419
TX
2085R0204X
Vascular & Interventional Radiology Physician
J2419
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1146374
FIRST HEALTH
01
127103100
FIRSTCARE
TX
05
134467306
TX
01
300109576
RAILROAD MEDICARE
01
87468Y
BLUE CROSS
05
P7702
NM
Enumeration date
06/21/2005
Last updated
01/20/2022
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