King, Trisha Melaine

King, Trisha Melaine is an individual health care provider with primary practice located at 3702 22Nd Pl , Lubbock TX 79410-1320. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot Surgery, which is considered as her primary health care specialty. King, Trisha Melaine can be contacted via phone (806) 747-4467.

Contact Information

Primary practice address
3702 22Nd Pl Lubbock TX 79410-1320
Fax: (806) 788-1708
Website:

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 1781 Texas

Profile Details

NPI number 1033282124
LBN Legal business name King, Trisha Melaine
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2006
Last updated Jan 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033282124 NPPES
Texas MEDICAID 192330210
Texas MEDICAID 1923302
Texas MEDICAID 192330208
Texas MEDICAID 192330209
Texas Other P01571957

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