West Texas Neurology Clinic LLC

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

Legal business name

WEST TEXAS NEUROLOGY CLINIC LLC

Practice address

4602 67TH St
Lubbock, TX 79414-5002

Phone

(214) 680-0860

NPI assigned

Aug 1, 2021

Last updated

Jul 11, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ahmad Sabouni, MDNPI 1124199187

Title

President

Phone

(806) 993-7040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ahmad Sabouni, M.D.

  • Neurology Physician
  • Lubbock, TX
  • NPI 1124199187
  Medicare reassignment NPD Authorized official
• Destiny Marie Osogu, APRN

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1497419477
  Medicare reassignment NPD
• Maria Thompson

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1659892644
  Medicare reassignment NPD
• Kira R Williams, FNP-BC

  • Nurse Practitioner
  • Lubbock, TX
  • NPI 1497467393
  Medicare reassignment NPD
• Katie Ann Glenn

  • Student in an Organized Health Care Education/Training Program
  • Midland, TX
  • NPI 1982259727
  Medicare reassignment

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

{
    "created_epoch": "1627776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720656000000",
    "number": "1407529704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4602 67TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145002",
            "telephone_number": "806-993-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4602 67TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794145002",
            "telephone_number": "214-680-0860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS NEUROLOGY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-01",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A",
        "authorized_official_last_name": "SABOUNI",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "806-993-7040",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Texas Foot Specialist PA
• West Texas Hand PLLC
• West Texas Heart & Vascular, PLLC (West Texas Heart & Vascular)
• West Texas Kid's Clinic, PLLC
• West Texas Mobile Audiology LLC
• West Texas Oral Facial Surgery
• West Texas Pain Institute, LLC
• West Texas Pediatric Cardiology
• West Texas Pediatrics LLP
• West Texas Physiotherapy

• Neurological Surgery Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Neurological Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.