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1992708705

NPI Code Detail

MEDICARE: LUBBOCK REGIONAL MHMR CENTER

MEDICARE: LUBBOCK REGIONAL MHMR CENTER

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	171M00000X	Case Manager/Care Coordinator
2	261QM0855X	Adolescent and Children Mental Health Clinic/Center
3	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)
4	261QP2300X	Primary Care Clinic/Center
5	2084P0800X	Psychiatry Physician
6	315P00000X	Intellectual Disabilities Intermediate Care Facility
7	320900000X	Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
8	261QM0850X	Adult Mental Health Clinic/Center
9	261QM2800X	Methadone Clinic
10	251B00000X	Case Management Agency
11	251T00000X	PACE Provider Organization
12	283Q00000X	Psychiatric Hospital
13	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
14	261Q00000X	Clinic/Center

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
7	1D9349	OTHER	TX	MEDICARE B OTP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992708705
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUBBOCK REGIONAL MHMR CENTER

Provider Business Mailing Address
First Line	:	PO BOX 2828
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79408-2828
Country	:	US
Telephone Number	:	806-766-0310
Fax Number	:	806-766-0250

Provider Business Practice Location Address
First Line	:	1950 ASPEN AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79404-1211
Country	:	US
Telephone Number	:	806-766-0213
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	BETH LAWSON
Credential	:
Telephone Number	:	806-767-1648

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	10/28/2025

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Practice Location Address:

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79404-1211

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1780791913 — DR. DANA ANDREW BUTLER M.D.
Practice Location Address:

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79404-1211

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1598953572 — MRS. MARILYN BARNHILL FNP
Practice Location Address:

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LUBBOCK, TX
79404-1211

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1215193552 — MISS NATHALIE GIGWISHIA MAHMUD NP STUDENT
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1235375577 — MS. DONNA LOUISE MOORE PA
Practice Location Address:

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LUBBOCK, TX
79404-1211

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Directions to “LUBBOCK REGIONAL MHMR CENTER ” 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.

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