Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Active
Other names
TTUHSC/Speech& Hearing
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, STE 2A300, LUBBOCK, TX 79430
(806) 743-5678
(806) 743-5670
Mailing address
PO BOX 27476, SALT LAKE CITY, UT 84127-0476
(806) 743-4263
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00U97P
BC/BS
TX
05
—
137910924
—
TX
05
—
197910925
—
TX
01
—
CD9207
RAILROAD MEDICARE
TX
05
—
G1217
—
NM
Enumeration date
05/06/2006
Last updated
10/01/2019
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