Healthcare Provider Details

I. General information

NPI: 1356308423
Provider Name (Legal Business Name): LAMB HEALTHCARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2006
Last Update Date: 03/21/2022
Certification Date: 03/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1600 S SUNSET AVE
LITTLEFIELD TX
79339-4810
US

IV. Provider business mailing address

1600 S SUNSET AVE
LITTLEFIELD TX
79339-4810
US

V. Phone/Fax

Practice location:
  • Phone: 806-385-6424
  • Fax: 806-385-4305
Mailing address:
  • Phone: 806-385-6424
  • Fax: 806-385-4305

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR1300X
TaxonomyRural Health Clinic/Center
License Number000217
License Number StateTX

VIII. Authorized Official

Name: SHARLA MCBRIDE
Title or Position: OFFICE MANAGER
Credential:
Phone: 806-385-6424