Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Active
Other names
TTUHSC-Podiatry
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) 743-2475
(806) 743-2478
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-4263
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00QW44
BCBS
TX
05
—
084589301
—
TX
05
—
084626301
—
TX
05
—
140327137
—
TX
01
—
CD9207
RAILROAD MEDICARE
TX
05
—
G1217
—
NM
Enumeration date
11/08/2006
Last updated
10/01/2019
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