Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Active
Other names
TTUHSC - Opthalmology
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MAGERS (CEO)
(806) 743-1830
Entity
Organization
Contact information
Practice address
3601 4TH ST, SUITE 2A100, LUBBOCK, TX 79430-0002
(806) 743-2020
(806) 743-1782
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-4263
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QQ82
BC/BS
TX
05
—
084588501
—
TX
05
—
140327145
—
TX
01
—
CD9207
RAILROAD MEDICARE
TX
05
—
G1217
—
NM
Enumeration date
05/06/2006
Last updated
03/07/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us