NPIMap

Organization Active NPI

Texas Tech Univeristy Health Sciences Center Lubbock

  • Clinical Genetics (M.D.) Physician
  • Lubbock, TX
National Provider Identifier
1457563744
Registry record updated Oct 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Genetics (M.D.) PhysicianTaxonomy code 207SG0201X
Legal business name
TEXAS TECH UNIVERISTY HEALTH SCIENCES CENTER LUBBOCK
Practice address
3601 4TH St
Lubbock, TX 79430-0002
Phone
(806) 743-7337
Fax
(806) 743-2314
NPI assigned
May 7, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2019

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

Authorized official

Name
Brent Majors
Title
Assistant Dean of Finance Admin
Phone
(806) 743-1830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207SG0201X Primary

Addresses

Primary practice location

3601 4TH St
Lubbock, TX 79430-0002

Mailing address

PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-4263

Other identifiers 2

IdentifierTypeStateIssuer
137910911MedicaidTX
CD9207OtherTXRAILROAD MEDICARE

Other names 1

  • TTUHSC - Pedi Genetics Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Rehabilitation Services -School of Allied Health Sciences21 organizations share this tax ID, including this one

Other organizations with this tax ID 20

Organizations that report the same tax identification number in the National Provider Directory.

View all 20

Interoperability endpoints

  • Direct secure messaging: tetyanavasylyeva@texastech.allscriptsdirect.net
  • Direct secure messaging: samerzaidkaylani@texastech.allscriptsdirect.net
  • Direct secure messaging: shannonherrick@texastech.allscriptsdirect.net
  • Direct secure messaging: mariacontreras@texastech.allscriptsdirect.net
  • Direct secure messaging: heatherholmes@texastech.allscriptsdirect.net
  • Direct secure messaging: smitabhaskaran@texastech.allscriptsdirect.net
  • Direct secure messaging: dianalebron@texastech.allscriptsdirect.net
  • Direct secure messaging: amandagriffin@texastech.allscriptsdirect.net
  • Direct secure messaging: walterbridges@texastech.allscriptsdirect.net
  • Direct secure messaging: henatewari@texastech.allscriptsdirect.net
  • Direct secure messaging: teresabaker@texastech.allscriptsdirect.net
  • Direct secure messaging: marygracebridges@texastech.allscriptsdirect.net
  • Direct secure messaging: angelahuang@texastech.allscriptsdirect.net
  • Direct secure messaging: rachelanderson@texastech.allscriptsdirect.net
  • Direct secure messaging: kayleeshepherd@texastech.allscriptsdirect.net
  • Direct secure messaging: johnniefaircloth@texastech.allscriptsdirect.net
  • Direct secure messaging: raphaelmattamal@texastech.allscriptsdirect.net
  • Direct secure messaging: janetmeller@texastech.allscriptsdirect.net
  • Direct secure messaging: stephengriffin@texastech.allscriptsdirect.net
  • Direct secure messaging: andrewrelph@texastech.allscriptsdirect.net

Practitioners & affiliated clinicians

Practitioners 26

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 26

NPI Registry JSON

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569888000000",
    "number": "1457563744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27476",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841270476",
            "telephone_number": "806-743-4263",
            "fax_number": "806-743-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 4TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300002",
            "telephone_number": "806-743-7337",
            "fax_number": "806-743-2314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEXAS TECH UNIVERISTY HEALTH SCIENCES CENTER LUBBOCK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-07",
        "last_updated": "2019-10-01",
        "status": "A",
        "authorized_official_last_name": "MAJORS",
        "authorized_official_first_name": "BRENT",
        "authorized_official_title_or_position": "ASSISTANT DEAN OF FINANCE ADMIN",
        "authorized_official_telephone_number": "806-743-1830"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137910911",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD9207",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TTUHSC - Pedi Genetics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "TTUHSC - Pedi Genetics",
            "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 Oct 1, 2019; 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.