Lubbock Integrative Medicine

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

TX01569 Issued in TX

Legal business name

LUBBOCK INTEGRATIVE MEDICINE

Practice address

3711 20TH St
Suite B
Lubbock, TX 79410-1223

Phone

(806) 797-7653

NPI assigned

Feb 2, 2015

Organization subpart

No

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

Authorized official

Name

Daniel Blake Gafford II, LAC, MACOM

Title

Owner of Lubbock Integrative Medici

Phone

(806) 797-7653

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1422835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422835200000",
    "number": "1508256207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 20TH ST",
            "address_2": "SUITE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 20TH ST",
            "address_2": "SUITE B",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101223",
            "telephone_number": "806-797-7653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK INTEGRATIVE MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A",
        "authorized_official_last_name": "GAFFORD",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER OF LUBBOCK INTEGRATIVE MEDICI",
        "authorized_official_telephone_number": "806-797-7653",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LAC, MACOM"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Acupuncturist",
            "state": "TX",
            "license": "TX01569",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubbock Heritage Hospital, LLC.
• Lubbock III Enterprises, LLC
• Lubbock Impact Inc. Foundations of Healing Clinic
• Lubbock Independent School District
• Lubbock Integrated Medical Institute PLLC
• Lubbock Interventional Nephrology Associates PA
• Lubbock Isd
• Lubbock Kidney & Blood Pressure Clinic P a
• Lubbock Kidney and Blood Pressure Clinic PA
• Lubbock Kids Dental PLLC

• Acupuncturist in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Acupuncturist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2015; 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.