Organization Active NPI

Lubbock Kidney and Blood Pressure Clinic PA

  • Durable Medical Equipment & Medical Supplies
  • Lubbock, TX
National Provider Identifier
1154545036
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
LUBBOCK KIDNEY AND BLOOD PRESSURE CLINIC PA
Practice address
1126 Slide Rd
Suite 4-B
Lubbock, TX 79416-5402
Phone
(806) 793-8447
Fax
(890) 679-2788
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Clarence J. Wheeler III, MD
Title
President
Phone
(806) 793-8447

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

1126 Slide Rd
Suite 4-B
Lubbock, TX 79416-5402

Mailing address

1126 Slide Road
Suite 4-B
Lubbock, TX 79416
Phone (806) 793-8447

Other names 1

  • Kidney and Blood Pressure Clinic of Lubbock PA Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154545036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SLIDE ROAD",
            "address_2": "SUITE 4-B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "79416",
            "telephone_number": "806-793-8447",
            "fax_number": "806-792-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD",
            "address_2": "SUITE 4-B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165402",
            "telephone_number": "806-793-8447",
            "fax_number": "890-679-2788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK KIDNEY AND BLOOD PRESSURE CLINIC PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WHEELER",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-793-8447",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidney and Blood Pressure Clinic of Lubbock PA",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.