Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MAGERS (ASSISTANT DEAN OF FINANCE ADMIN)
(806) 743-1830
Entity
Organization
Contact information
Practice address
3601 4TH ST, ROOM 1A100, LUBBOCK, TX 79430-0002
(806) 775-8360
(806) 743-2117
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-4263
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
131062506
—
TX
05
—
131062508
—
TX
01
—
CL00600
BC/BS
TX
05
—
G1217
—
NM
Enumeration date
05/06/2006
Last updated
03/07/2022
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