Organization · Type 2 NPI

Health and Human Services Commission

Intellectual Disabilities Intermediate Care Facility · Lubbock, TX

NPI number 1649363326 Active

Practice location

3401 N University Ave
Lubbock, TX 79415-1734

Fax (806) 741-3604

Mailing address

PO Box 5396
Lubbock, TX 79408-5396

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Cardiovascular Disease Physician 207RC0000XNone listed
Obstetrics & Gynecology Physician 207V00000XNone listed
Ophthalmology Physician 207W00000XNone listed
Physical Medicine & Rehabilitation Physician 208100000XNone listed
Neurology Physician 2084N0400XNone listed
Psychiatry Physician 2084P0800XNone listed
Diagnostic Radiology Physician 2085R0202XNone listed
Podiatrist 213E00000XNone listed
Intellectual Disabilities Intermediate Care Facility Primary 315P00000XNone listed

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

10 other providers at this address

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About NPI 1649363326

Health and Human Services Commission's National Provider Identifier is 1649363326, issued on Oct 2, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Lubbock, TX. The record was last updated on Feb 5, 2018.