Organization Active NPI

West Texas Kid's Clinic, PLLC

  • Pediatrics Physician
  • Lubbock, TX
National Provider Identifier
1437435856
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
Legal business name
WEST TEXAS KID'S CLINIC, PLLC
Practice address
5004 Frankford Ave Unit 400
Lubbock, TX 79424-1138
Phone
(806) 771-5437
NPI assigned
Oct 31, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2011

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

Authorized official

Name
Mrs. Trishia McEachern
Title
Practice Administrator
Phone
(806) 939-2868

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X Primary

Addresses

Primary practice location

5004 Frankford Ave Unit 400
Lubbock, TX 79424-1138

Mailing address

5004 Frankford Ave Unit 400
Lubbock, TX 79424-1138
Phone (806) 771-5437

National Provider Directory

National Provider Directory

Locations

5004 Frankford Ave
Unit 400
Lubbock, TX 79424
Phone (806) 771-3950

NPI Registry JSON

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320019200000",
    "number": "1437435856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5004 FRANKFORD AVE UNIT 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241138",
            "telephone_number": "806-771-5437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5004 FRANKFORD AVE UNIT 400",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794241138",
            "telephone_number": "806-771-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS KID'S CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-31",
        "last_updated": "2011-10-31",
        "status": "A",
        "authorized_official_last_name": "MCEACHERN",
        "authorized_official_first_name": "TRISHIA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "806-939-2868",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 31, 2011; 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.