Active NPI
Texas Physicians Group
- Cardiovascular Disease Physician
- Lubbock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- TEXAS PHYSICIANS GROUP
- Practice address
- 4802 N Loop 289
Lubbock, TX 79416-3025 - Phone
- (806) 788-0040
- NPI assigned
- May 11, 2012
- Last updated
- Jul 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5900
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | K5418 | TX | |
| Cardiovascular Disease Physician | 207RC0000X | Primary |
Addresses
Primary practice location
4802 N Loop 289
Lubbock, TX 79416-3025
Mailing address
4802 N Loop 289
Lubbock, TX 79416-3025
Phone (806) 788-0040
Other practice location 1
4642 N Loop 289 Ste 211
Lubbock, TX 79416-2425
Phone (806) 722-2161
Other practice location 2
6102 82nd St Ste 14
Lubbock, TX 79424-0840
Phone (806) 712-0446
Other practice location 3
4802 N Loop 289
Lubbock, TX 79416-3025
Phone (806) 788-0040
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D2134253 | Texas Physicians Group-Iola Clinic | Certificate of waiver | Jul 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
201 Franklin Rd
Ste 100
Brentwood, TN 37027
10208 Quaker Ave
Lubbock, TX 79424
Phone (806) 795-4500
10208 Quaker Ave
#B
Lubbock, TX 79424
Phone (806) 712-0002
10208 Quaker Ave
Ste 200B
Lubbock, TX 79424
Phone (806) 712-9007
4642 N Loop 289
Lubbock, TX 79416
Phone (806) 722-2161
6102 82nd St
Ste B
Lubbock, TX 79424
Interoperability endpoints
- https://api.platform.athenahealth.com/24018/brand/1/csg/1/fhir/r4
Practitioners & affiliated clinicians
Practitioners 33
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.
-
- Family Medicine Physician
- Lubbock, TX
- NPI 1508837790
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1578566006
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1811069339
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1841293370
-
- Interventional Cardiology Physician
- Lubbock, TX
- NPI 1558454173
Cardiovascular Disease
-
- Clinical Cardiac Electrophysiology Physician
- Lubbock, TX
- NPI 1962568642
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1013910546
-
- Cardiovascular Disease Physician
- Lubbock, TX
- NPI 1477556900
-
- Physician Assistant
- Lubbock, TX
- NPI 1023074408
-
- Endocrinology, Diabetes & Metabolism Physician
- Lubbock, TX
- NPI 1689791949
-
- Clinical Cardiac Electrophysiology Physician
- Austin, TX
- NPI 1497730980
Cardiovascular Disease
-
- Family Nurse Practitioner
- Lubbock, TX
- NPI 1629412598
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1336694400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626998400000",
"number": "1497014369",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4802 N LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163025",
"telephone_number": "806-788-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 N LOOP 289",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794163025",
"telephone_number": "806-788-0040"
}
],
"practiceLocations": [
{
"address_1": "4642 N Loop 289 Ste 211",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794162425",
"country_code": "US",
"telephone_number": "806-722-2161",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6102 82nd St Ste 14",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794240840",
"country_code": "US",
"telephone_number": "806-712-0446",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4802 N Loop 289",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794163025",
"country_code": "US",
"telephone_number": "806-788-0040",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TEXAS PHYSICIANS GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2012-05-11",
"last_updated": "2021-07-23",
"certification_date": "2021-01-22",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5900"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "TX",
"license": "K5418",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lubbock, TX
- Texas Incontinence Supply LLC
- Texas MRI Partners LLC (Texas MRI of Lubbock)
- Texas MRI Partners LLC (Texas MRI of Lubbock - South)
- Texas Pharmacy Management Group LLC
- Texas Pharmacy Management Group LLC (Clarx Hub City Pharmacy)
- Texas Retina Associates
- Texas Tech Early Head Start
- Texas Tech Physician Associates @ Lubbock (Ttpa - Crna)
- Texas Tech Physicians Associates at Lubbock (Ttpa)
- Texas Tech Student Health Pharmacy
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2021; 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.