Organization
LUBBOCK COUNTY HOSPITAL DISTRICT
Active
Other names
UMC Radiology
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MARTIN (MANAGER, EDI)
(806) 761-0843
Entity
Organization
Contact information
Practice address
602 INDIANA AVE, LUBBOCK, TX 79415-3364
(806) 775-8400
(806) 775-8412
Mailing address
PO BOX 5980, LUBBOCK, TX 79408-5980
(806) 161-0843
(806) 472-6802
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
156506103
—
TX
Enumeration date
07/23/2006
Last updated
01/31/2024
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