Organization
TEXAS TECH PHYSICIANS ASSOCIATES AT LUBBOCK
Active
Parent organization
TEXAS TECH PHYSICIANS ASSOCIATES AT LUBBOCK
Other names
TTPA
Organization subpart
Yes
Provider details
NPI number
Legal business name
TEXAS TECH PHYSICIANS ASSOCIATES AT LUBBOCK
Authorized official
BRENT MAJORS (ASSISTANT DEAN FINANCE ADMIN)
(806) 743-1830
Entity
Organization
Contact information
Practice address
3601 4TH ST, MS 8105, LUBBOCK, TX 79430-8105
(806) 743-2898
(806) 743-2787
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003022HM
HMO BLUE
TX
05
—
081437801
—
TX
01
—
24HM
HMO BLUE
TX
01
—
CD9207
RAILROAD MEDICARE
TX
Enumeration date
05/08/2006
Last updated
10/27/2009
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