Individual
ELAINE SIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
3601 4TH ST, SUITE 3A112, LUBBOCK, TX 79430-0002
(806) 743-4237
(806) 743-2113
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
555709
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85758Z
HMO BLUE
TX
01
—
89N110
BC/BS
TX
01
—
C002
TRIWEST
NM
05
—
N6198
—
NM
Enumeration date
12/19/2005
Last updated
07/19/2007
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