Individual
ADAM JON SUMMERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3615 19TH ST, LUBBOCK, TX 79410
(806) 725-2233
(806) 725-0053
Mailing address
2215 NASHVILLE AVE, LUBBOCK, TX 79410-1105
(806) 725-5844
(806) 723-6532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
31517
OK
207P00000X
Emergency Medicine Physician
Primary
R6916
TX
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
55478883
—
NM
01
—
678779
MEDICARE
TX
01
—
8JP611
BCBS
TX
Enumeration date
04/24/2015
Last updated
08/23/2018
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