Healthcare Provider Details

I. General information

NPI: 1346377009
Provider Name (Legal Business Name): SOUTH PLAINS PUBLIC HEALTH DISTRICT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/28/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

919 E MAIN ST
BROWNFIELD TX
79316-4633
US

IV. Provider business mailing address

919 E MAIN ST
BROWNFIELD TX
79316-4633
US

V. Phone/Fax

Practice location:
  • Phone: 806-637-2164
  • Fax: 806-637-4295
Mailing address:
  • Phone: 806-637-2164
  • Fax: 806-637-4295

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License NumberC7676
License Number StateTX

VIII. Authorized Official

Name: MORRIS S KNOX
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 806-637-2164