Organization Active NPI

West Texas Allergy, Lubbock, PLLC

  • Allergy & Immunology Physician
  • Lubbock, TX
National Provider Identifier
1891444303
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
Legal business name
WEST TEXAS ALLERGY, LUBBOCK, PLLC
Practice address
5424 19TH St Ste 300
Lubbock, TX 79407-2164
Phone
(806) 795-4391
Fax
(806) 796-1354
NPI assigned
Mar 22, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Dr. Michael Patric Wolbert, MD
Title
Partner
Phone
(432) 682-5385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X Primary

Addresses

Primary practice location

5424 19TH St Ste 300
Lubbock, TX 79407-2164

Mailing address

5424 19TH St Ste 300
Lubbock, TX 79407-2164
Phone (806) 795-4391

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1647907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1891444303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 19TH ST STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072164",
            "telephone_number": "806-795-4391",
            "fax_number": "806-796-1354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 19TH ST STE 300",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072164",
            "telephone_number": "806-795-4391",
            "fax_number": "806-796-1354"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST TEXAS ALLERGY, LUBBOCK, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-22",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A",
        "authorized_official_last_name": "WOLBERT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "PATRIC",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "432-682-5385",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "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 Jun 8, 2022; 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.