Organization Active NPI

Mobile Medical Home Care Inc

  • General Practice Physician
  • Lubbock, TX
National Provider Identifier
1700184389
Registry record updated Mar 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
Legal business name
MOBILE MEDICAL HOME CARE INC
Practice address
10907 Quaker Ave
Lubbock, TX 79424-8315
Phone
(806) 771-7798
Fax
(806) 687-9299
NPI assigned
Mar 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2011

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

Authorized official

Name
Russell Backus
Title
Owner
Phone
(806) 771-7798

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208D00000X Primary

Addresses

Primary practice location

10907 Quaker Ave
Lubbock, TX 79424-8315

Mailing address

10907 Quaker Ave
Lubbock, TX 79424-8315
Phone (806) 771-7798

National Provider Directory

National Provider Directory

Locations

10907 Quaker Ave
Lubbock, TX 79424
Phone (806) 771-7798

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1299456000000",
    "number": "1700184389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10907 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248315",
            "telephone_number": "806-771-7798",
            "fax_number": "806-687-9299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10907 QUAKER AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248315",
            "telephone_number": "806-771-7798",
            "fax_number": "806-687-9299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE MEDICAL HOME CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-07",
        "last_updated": "2011-03-07",
        "status": "A",
        "authorized_official_last_name": "BACKUS",
        "authorized_official_first_name": "RUSSELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-771-7798"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "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 Mar 7, 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.