Michael Hood Chamales, M.D.
Individual provider Active NPI Family Medicine Physician · Lubbock, TX
NPI 1285642603 · NPPES record last updated Jun 30, 2015
Key facts
- NPI
- 1285642603
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- E-2504 (TX)
- Practice address
- 15010 Slide Dr
Lubbock, TX 79424 - Phone
- (806) 872-4179
- NPI assigned
- Aug 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040512000297 | TX | Practitioner - Family Practice |
3971592098 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E-2504 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seminole Hospital District of Gaines County Texas | Current |
Accepting new patients | |
| Concord Medical Group of Texas PLLC | Current |
Accepting new patients | |
| Seminole Hospital District of Gaines County Texas | Current |
Accepting new patients | |
| Buffalo Springs Emergency Physicians | Past | Accepting new patients | |
| Howard Emergency Medicine Associates PA. | Past | Accepting new patients | |
| Arizona Ave Emergency Physicians | Past | Accepting new patients | |
| Texas Emergency Room Services PA | Past | Accepting new patients |
Locations
1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
304 S Daugherty Ave
Eastland, TX 76448
Phone (254) 629-2601
540 W 15th St
Hereford, TX 79045
Phone (806) 364-2141
1500 S Sunset Ave
Littlefield, TX 79339
Phone (806) 385-6411
708 S 1st St
Muleshoe, TX 79347
Phone (806) 272-4524
209 NW 8th St
Seminole, TX 79360
Phone (432) 758-5811
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | E-2504 | TX | Yes |
| Dermatology Physician | 207N00000X | E2504 | TX | |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | E2504 | TX |
Addresses
Primary practice location
15010 Slide Dr
Lubbock, TX 79424
Mailing address
15010 FM 1730
Lubbock, TX 79424-6635
Phone (806) 863-4206
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1401648-03 | Medicaid | TX | |
| 93-0724316 | Other | TX | TAX ID |
Other providers in Lubbock, TX
- Stella M Cervantez
- Aurelio R Cervera
- Luiz G Cesar
- Ankit Chalia
- Gayane Chalyan
- Lana A Chambers
- Jared David Chambless
- Jackqueline Lashawn Chance
- Shonda Chancey
- Whitney Lynn Chancia
All providers in Lubbock, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 30, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.