Texas Tech University Health Sciences Center Lubbock
Organization Active NPI Medical Oncology Physician · Lubbock, TX
NPI 1790734085 · NPPES record last updated Jul 28, 2026
Key facts
- NPI
- 1790734085
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Medical Oncology Physician 207RX0202X
- Legal business name
- TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER LUBBOCK
- Practice address
- 3601 4TH St
Lubbock, TX 79430-9903 - Phone
- (806) 743-3150
- Fax
- (806) 743-3168
- NPI assigned
- May 6, 2006
- Organization subpart
- No
Authorized official
- Name
- Brett Swett
- Title
- Assistant Dean of Finance
- Phone
- (806) 743-1830
Other NPIs on the same Medicare enrollment 23
Practitioners 34
-
Muhammad B Abid, M.D.
-
Dana R Bourke, NP
-
Jyothi Dodlapati, M.D.
-
Lindsay J Eckert, PA
-
Gerald Edelman, M.D.
-
Katrina Foster, NP-C
-
Thomas Edgar Hutson, DO,PHARMD
-
H. Lance Mandell, M.D.
-
Sheree A Martinez, FNP-C
-
Renata Molinar, FNP-C
-
Sheri Jo Nichols, RN FNP
-
Syed N Raza, M.D.
-
Jasmine Sekhon, MD
-
Hang Trinh, FNP-C
-
Jessica Ann Wiles, APRN, FNP-BC
-
Vibeth Atienza, FNP
-
Zhen Hou, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110318000468 | TX | Part B Supplier - Clinic/Group Practice | 4385549674 |
Receives reassigned benefits from 692 practitioners 23 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician |
207RX0202X | Yes | ||
| Multi-Specialty Clinic/Center | 261QM1300X |
Addresses
Primary practice location
3601 4TH St
Lubbock, TX 79430-9903
Mailing address
PO Box 27476
Salt Lake City, UT 84127-0476
Phone (806) 743-2898
Other practice location 1
1001 US Highway 83 N
Childress, TX 79201-2322
Phone (806) 937-3636
Other practice location 2
602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 743-3150
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00U59J | Other | TX | BC/BS |
| G1217 | Medicaid | NM | |
| 137910919 | Medicaid | TX | |
| 137910920 | Medicaid | TX | |
| CD9207 | Other | TX | RAILROAD MEDICARE |
Other names
- TTUHSC/ Oncology
Other providers in Lubbock, TX
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
- Texas Tech University Health Sciences Center Lubbock
All providers in Lubbock, TX · Medical Oncology Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.