Organization
TEXAS TECH UNIVERISTY HEALTH SCIENCES CENTER LUBBOCK
Active
Other names
TTUHSC - Pedi Genetics
Organization subpart
No
Provider details
NPI number
Authorized official
BRENT MAJORS (ASSISTANT DEAN OF FINANCE ADMIN)
(806) 743-1830
Entity
Organization
Contact information
Practice address
3601 4TH ST, LUBBOCK, TX 79430-0002
(806) 743-7337
(806) 743-2314
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-4263
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
137910911
—
TX
01
—
CD9207
RAILROAD MEDICARE
TX
Enumeration date
05/07/2007
Last updated
10/01/2019
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