Individual provider Active NPI

Carlos Antonio Linares Koloffon, MD

  • Student in an Organized Health Care Education/Training Program
  • Lubbock, TX
National Provider Identifier
1477488666
Registry record updated Jun 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
License
BP10100582 Issued in TX
Practice address
3061 4TH Street
Stop: 8143
Lubbock, TX 79430-0001
Phone
(806) 743-1083
NPI assigned
Jun 17, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X BP10100582 TX Primary

Addresses

Primary practice location

3061 4TH Street
Stop: 8143
Lubbock, TX 79430-0001

Mailing address

4818 96TH St
Lubbock, TX 79424-4815
Phone (929) 239-0264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1781654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781654400000",
    "number": "1477488666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4818 96TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794244815",
            "telephone_number": "929-239-0264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 4TH STREET",
            "address_2": "STOP: 8143",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794300001",
            "telephone_number": "806-743-1083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINARES KOLOFFON",
        "first_name": "CARLOS ANTONIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-06-17",
        "last_updated": "2026-06-17",
        "certification_date": "2026-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "TX",
            "license": "BP10100582",
            "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 Jun 17, 2026; 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.