Individual
JOSE A SUAREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1655 MAIN ST STE 201, LUBBOCK, TX 79401
(806) 701-5858
(806) 701-5799
Mailing address
4316 23RD ST, LUBBOCK, TX 79410-1812
(806) 701-5858
(806) 701-4184
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
L6189
TX
207RC0000X
Cardiovascular Disease Physician
L6189
TX
207RI0011X
Interventional Cardiology Physician
Primary
L6189
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
144533100
FIRSTCARE COMMERCIAL
TX
05
—
144533101
—
TX
05
—
175918501
—
TX
05
—
175918502
—
TX
05
—
200060860A
—
OK
01
—
202000166
PRESBYTERIAN COMMERCIAL
NM
05
—
202000166
—
NM
05
—
46685367
—
NM
01
—
87928Z
HMO BLUE
TX
01
—
8S5201
BC/BS
TX
01
—
S0140833
DPS
TX
Enumeration date
07/07/2005
Last updated
03/07/2023
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