Afhcph (1), LP

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

AFHCPH (1), LP

Doing business as

Premier Healthcare Center West

Practice address

4833 50TH St
Lubbock, TX 79414-3418

Phone

(806) 771-3565

Fax

(806) 771-3560

NPI assigned

May 4, 2009

Last updated

May 4, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gustavo Alfonso Bendeck, PA-C

Title

Partner, Ceo, PA-C

Phone

(806) 771-3565

Specialties & licenses 1

Addresses

Other names 1

• Premier Healthcare Center West Doing business as

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1932333150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4833 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143418",
            "telephone_number": "806-771-3565",
            "fax_number": "806-771-3560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4833 50TH ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794143418",
            "telephone_number": "806-771-3565",
            "fax_number": "806-771-3560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFHCPH (1), LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "BENDECK",
        "authorized_official_first_name": "GUSTAVO",
        "authorized_official_middle_name": "ALFONSO",
        "authorized_official_title_or_position": "PARTNER, CEO, PA-C",
        "authorized_official_telephone_number": "806-771-3565",
        "authorized_official_credential": "PA-C"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Premier Healthcare Center West",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Urgent Care Clinic/Center in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Urgent Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.