NPIMap

Organization Active NPI

Texas Tech University Health Sciences Center Lubbock

  • Family Medicine Physician
  • Lubbock, TX
National Provider Identifier
1083663363
Registry record updated Jul 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
Practice address
3601 4TH St
Lubbock, TX 79430-0002
Phone
(806) 743-2757
Fax
(806) 743-2563
NPI assigned
May 6, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brett Swett
Title
Assistant Dean Finance
Phone
(806) 743-1830

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Multi-Specialty Clinic/Center 261QM1300X

Addresses

Primary practice location

3601 4TH St
Lubbock, TX 79430-0002

Mailing address

PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-4263

Other practice location 1

1003 Flint Ave
Lubbock, TX 79409-9803
Phone (806) 743-2345

Other practice location 2

2602 Avenue Q
Lubbock, TX 79411-2444
Phone (806) 761-0616

Other practice location 3

11011 Slide Rd
Lubbock, TX 79424-2274
Phone (806) 743-2584

Other practice location 4

1003 Flint Ave
Lubbock, TX 79409-9803
Phone (806) 743-2848

Other identifiers 7

IdentifierTypeStateIssuer
084599202MedicaidTX
084599203MedicaidTX
00QQ95OtherTXBC/BS
084599204MedicaidTX
CD9207OtherTXRAILROAD MEDICARE
140327130MedicaidTX
G1217MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20110318000468 TX Part B Supplier - Clinic/Group Practice 4385549674 Receives reassigned benefits from 692 practitioners
23 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 23

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 23

National Provider Directory

National Provider Directory

Locations

3601 4th St
Ste 3A124
Lubbock, TX 79430

3601 4th St
Rm 1C143
Lubbock, TX 79430
Phone (806) 743-2757

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 46

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785196800000",
    "number": "1083663363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27476",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270476",
            "telephone_number": "806-743-4263",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-2757",
            "fax_number": "806-743-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1003 Flint Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794099803",
            "country_code": "US",
            "telephone_number": "806-743-2345",
            "fax_number": "806-743-2344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2602 Avenue Q",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794112444",
            "country_code": "US",
            "telephone_number": "806-761-0616",
            "fax_number": "806-744-4432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11011 Slide Rd",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794242274",
            "country_code": "US",
            "telephone_number": "806-743-2584",
            "fax_number": "806-743-2029",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1003 Flint Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794099803",
            "country_code": "US",
            "telephone_number": "806-743-2848",
            "fax_number": "806-743-1071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-06",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A",
        "authorized_official_last_name": "SWETT",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "ASSISTANT DEAN FINANCE",
        "authorized_official_telephone_number": "806-743-1830"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084599202",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084599203",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00QQ95",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "084599204",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD9207",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "140327130",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G1217",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.