MEDICARE: MADHU POLIMERU

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1266430	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8HH298	OTHER	TX	BLUE CROSS/BLUE SHIELD

General Provider Information

NPI Number	:	1174954713
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADHU POLIMERU

Provider Business Mailing Address
First Line	:	2431 S LOOP 289
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-1519
Country	:	US
Telephone Number	:	806-771-8008
Fax Number	:

Provider Business Practice Location Address
First Line	:	4642 N LOOP 289 STE 205
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79416-2424
Country	:	US
Telephone Number	:	806-771-1352
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2013
Last Update Date	:	07/21/2022

Similar Medicare Providers

1093820763 — MATTISON PATHOLOGY, L.L.P.
Practice Location Address:

4642 N LOOP 289 STE 205
LUBBOCK, TX
79416-2424

Practice Phone: 360-543-6836
Practice Fax: 971-402-0065

1093912313 — MR. JOHN RUSSELL LOWE MPT, MAT, LAT, ATC
Practice Location Address:

4642 N LOOP 289 STE 205
LUBBOCK, TX
79416-2424

Practice Phone: 806-775-9275
Practice Fax:

1528259900 — BENJAMIN J. WILLIAMS MD, PHD, PA
Practice Location Address:

4642 N LOOP 289 STE 203
LUBBOCK, TX
79416-2424

Practice Phone: 806-722-3030
Practice Fax: 806-722-3035

1316463425 — JANICE MARIE ROWE PTA
Practice Location Address:

4642 N LOOP 289 STE 205
LUBBOCK, TX
79416-2424

Practice Phone: 806-771-1352
Practice Fax: 806-771-1356

1629072277 — JONI CLINE PA
Practice Location Address:

4404 19TH ST STE C
LUBBOCK, TX
79407-2424

Practice Phone: 806-795-8150
Practice Fax: 806-791-6688

1104866375 — DR. FRANK CASTILLON III M.D.
Practice Location Address:

2424 50TH SREET , STE 100
LUBBOCK, TX
79412-2549

Practice Phone: 806-761-0722
Practice Fax: 806-797-1265

Directions to “ MADHU POLIMERU ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.