Organization
HEALTH AND HUMAN SERVICES COMMISSION
Active
Other names
Lubbock State Supported Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT SCHALCHLIN (ASSOCIATE COMMISSIONER)
(512) 438-3076
Entity
Organization
Contact information
Practice address
3401 N UNIVERSITY AVE, LUBBOCK, TX 79415-1734
(806) 763-7041
(806) 741-3604
Mailing address
PO BOX 5396, LUBBOCK, TX 79408-5396
(806) 763-7041
(806) 741-3604
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
TX
207RC0000X
Cardiovascular Disease Physician
—
TX
207V00000X
Obstetrics & Gynecology Physician
—
TX
207W00000X
Ophthalmology Physician
—
TX
208100000X
Physical Medicine & Rehabilitation Physician
—
TX
2084N0400X
Neurology Physician
—
TX
2084P0800X
Psychiatry Physician
—
TX
2085R0202X
Diagnostic Radiology Physician
—
TX
213E00000X
Podiatrist
—
TX
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000710701
—
TX
Enumeration date
10/02/2006
Last updated
02/05/2018
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