NPIMap

Organization Active NPI

Lubbock Vascular Access Center

  • Ambulatory Surgical Clinic/Center
  • Lubbock, TX
National Provider Identifier
1992248512
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
14579 Issued in TX
Legal business name
LUBBOCK VASCULAR ACCESS CENTER
Practice address
1126 Slide Rd
Suite 1
Lubbock, TX 79416-5462
Phone
(806) 792-2222
Fax
(806) 792-8888
NPI assigned
Nov 30, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Ms. Jennifer Lee Coleman, FNP, JD
Title
Facility Administrator
Phone
(806) 792-2222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X 14579 TX Primary

Addresses

Primary practice location

1126 Slide Rd
Suite 1
Lubbock, TX 79416-5462

Mailing address

1126 Slide Rd
Suite 1
Lubbock, TX 79416-5462
Phone (806) 792-2222

National Provider Directory

National Provider Directory
Tax ID family
Lubbock Interventional Neph2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1126 Slide Rd
Unit 1
Lubbock, TX 79416
Phone (806) 792-2222

NPI Registry JSON

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

{
    "created_epoch": "1480464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1992248512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD",
            "address_2": "SUITE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165462",
            "telephone_number": "806-792-2222",
            "fax_number": "806-792-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 SLIDE RD",
            "address_2": "SUITE 1",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794165462",
            "telephone_number": "806-792-2222",
            "fax_number": "806-792-8888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUBBOCK VASCULAR ACCESS CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-30",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "806-792-2222",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP, JD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "TX",
            "license": "14579",
            "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 Nov 30, 2016; 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.