Healthcare Provider Details

I. General information

NPI: 1164113536
Provider Name (Legal Business Name): WILLIAM COLIN O'PRY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

TTUHSC DEPARTMENT OF FAMILY MEDICINE 3601 4TH STREET STOP 8143
LUBBOCK TX
79430
US

IV. Provider business mailing address

TTUHSC DEPARTMENT OF FAMILY MEDICINE 3601 4TH STREET STOP 8143
LUBBOCK TX
79430
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-6130
  • Fax: 806-743-1421
Mailing address:
  • Phone: 806-743-6130
  • Fax: 806-743-1421

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberV6370
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: