NPIMap

Organization Active NPI

Swat Surgical Associates, L.L.P.

  • Surgery Physician
  • Lubbock, TX
National Provider Identifier
1740219724
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SWAT SURGICAL ASSOCIATES, L.L.P.
Practice address
3509 22ND St
Lubbock, TX 79410-1307
Phone
(806) 799-7928
Fax
(806) 788-8500
NPI assigned
Jul 1, 2006
Last updated
Dec 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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

Authorized official

Name
Ms. Karmen Blackstock
Title
Clinic Administrator
Phone
(806) 799-7928

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary
Surgery of the Hand (Surgery) Physician 2086S0105X NU
Surgical Oncology Physician 2086X0206X NU

Addresses

Primary practice location

3509 22ND St
Lubbock, TX 79410-1307

Mailing address

3509 22ND St
Lubbock, TX 79410-1307
Phone (806) 799-7928

Other practice location 1

116 John DuPree Dr Ste D
Levelland, TX 79336-6300
Phone (806) 794-2465

Other practice location 2

3611 22nd Pl
Lubbock, TX 79410-1317
Phone (806) 771-2222

Other practice location 3

4101 22nd Pl
Lubbock, TX 79410-1121
Phone (806) 799-7928

Other identifiers 2

IdentifierTypeStateIssuer
159075401MedicaidTX
J7625MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050815000537 TX Part B Supplier - Clinic/Group Practice 1355371832 Receives reassigned benefits from 13 practitioners
Practice locations: Lubbock, TX; Snyder, TX; Denver City, TX; Levelland, TX

National Provider Directory

National Provider Directory

Locations

3502 9th St
Ste 310
Lubbock, TX 79415
Phone (806) 761-0728

4101 22nd Pl
Ste 204
Lubbock, TX 79410

Practitioners & affiliated clinicians

Practitioners 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1766102400000",
    "number": "1740219724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101307",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3509 22ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794101307",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "116 John DuPree Dr Ste D",
            "address_purpose": "LOCATION",
            "city": "Levelland",
            "state": "TX",
            "postal_code": "793366300",
            "country_code": "US",
            "telephone_number": "806-794-2465",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3611 22nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101317",
            "country_code": "US",
            "telephone_number": "806-771-2222",
            "fax_number": "806-771-2224",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4101 22nd Pl",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794101121",
            "country_code": "US",
            "telephone_number": "806-799-7928",
            "fax_number": "806-788-8560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SWAT SURGICAL ASSOCIATES, L.L.P.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A",
        "authorized_official_last_name": "BLACKSTOCK",
        "authorized_official_first_name": "KARMEN",
        "authorized_official_title_or_position": "CLINIC ADMINISTRATOR",
        "authorized_official_telephone_number": "806-799-7928",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159075401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "J7625",
            "state": "NM"
        }
    ],
    "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 Dec 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.