Lubbock Integrated Medical Institute PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

K7879 Issued in TX

Legal business name

LUBBOCK INTEGRATED MEDICAL INSTITUTE PLLC

Practice address

2630 26TH St
Lubbock, TX 79410-2220

Phone

(806) 765-8443

NPI assigned

May 4, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Christopher Rose, M.D.

Title

Owner

Phone

(806) 765-8443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX2 enrollments

Enrollment records 2

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rita Esmeralda Corona, MD

  • Internal Medicine Physician
  • Lubbock, TX
  • NPI 1336302173
  Medicare reassignment NPD
• Lauriana Nerios, FNP

  • Family Nurse Practitioner
  • Lubbock, TX
  • NPI 1992359160
  Medicare reassignment NPD
• Stephen Brett Vanosdale, D.C.

  • Chiropractor
  • Lubbock, TX
  • NPI 1407943855
  NPD

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

{
    "created_epoch": "1462320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640044800000",
    "number": "1790130169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 26TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102220",
            "telephone_number": "806-765-8443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 26TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794102220",
            "telephone_number": "806-765-8443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK INTEGRATED MEDICAL INSTITUTE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-04",
        "last_updated": "2021-12-21",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "806-765-8443",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "K7879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lubbock Heritage Hospital, LLC (Grace Medical Center)
• Lubbock Heritage Hospital, LLC. (Grace Surgical Hospital)
• Lubbock III Enterprises, LLC (Lubbock Health Care Center)
• Lubbock Impact Inc. Foundations of Healing Clinic
• Lubbock Independent School District (Lisd Eci Debt Program)
• Lubbock Integrative Medicine
• Lubbock Interventional Nephrology Associates PA (Lubbock Vascular Access)
• Lubbock Isd
• Lubbock Kidney & Blood Pressure Clinic P a
• Lubbock Kidney and Blood Pressure Clinic PA (Kidney and Blood Pressure Clinic of Lubbock PA)

• General Practice Physician in Lubbock, TX
• Providers in Lubbock, TX by specialty
• General Practice Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2021; 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.