Lubbock Lighthouse

Primary specialty

Health Maintenance OrganizationTaxonomy code 302R00000X

License

1000011 Issued in TX

Legal business name

LUBBOCK LIGHTHOUSE

Practice address

1308 Avenue Q Ste a
Lubbock, TX 79401-3839

Phone

(806) 744-3419

Fax

(806) 747-1384

NPI assigned

Aug 25, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Pete C Ramos, MS

Title

Deputy Director

Phone

(806) 744-3419

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282694400000",
    "number": "1386950582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 AVENUE Q STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013839",
            "telephone_number": "806-744-3419",
            "fax_number": "806-747-1384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1308 AVENUE Q STE A",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794013839",
            "telephone_number": "806-744-3419",
            "fax_number": "806-747-1384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK LIGHTHOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-25",
        "last_updated": "2010-08-25",
        "status": "A",
        "authorized_official_last_name": "RAMOS",
        "authorized_official_first_name": "PETE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DEPUTY DIRECTOR",
        "authorized_official_telephone_number": "806-744-3419",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "TX",
            "license": "1000011",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lubbock Kids Dental PLLC
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• Lubbock Neurology, PLLC
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• Health Maintenance Organization in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Health Maintenance Organization in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.