Lubbock Kidney & Blood Pressure Clinic P A

LBN: Lubbock Kidney & Blood Pressure Clinic P A
Lubbock Kidney & Blood Pressure Clinic P A is an health care organization with primary practice located at 1126 Slide Rd Suite 4B, Lubbock TX 79416-5402. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Lubbock Kidney & Blood Pressure Clinic P A can be contacted via phone (806) 793-8447, or through Wheeler, Clarence J via phone (806) 793-8447.

Contact Information

Primary practice address
1126 Slide Rd Suite 4B Lubbock TX 79416-5402
Fax: (806) 793-0498
Website:
Authorized official contact:
Name: Wheeler, Clarence J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1316958663
LBN Legal business name Lubbock Kidney & Blood Pressure Clinic P A
DBA Doing business as
Authorized official Wheeler, Clarence J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated May 16th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316958663 NPPES
New Mexico MEDICAID G-8915
New Mexico Other 00DG98
New Mexico Other C12381
New Mexico MEDICAID 082186001

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