Healthcare Provider Details

I. General information

NPI: 1760529200
Provider Name (Legal Business Name): METRO HEALTH CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2007
Last Update Date: 05/23/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12402 SLIDE RD SUITE 306
LUBBOCK TX
79424-8323
US

IV. Provider business mailing address

12402 SLIDE RD SUITE 306
LUBBOCK TX
79424-8323
US

V. Phone/Fax

Practice location:
  • Phone: 806-780-7000
  • Fax: 806-780-7400
Mailing address:
  • Phone: 806-780-7000
  • Fax: 806-780-7400

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251G00000X
TaxonomyCommunity Based Hospice Care Agency
License Number009869
License Number StateTX

VIII. Authorized Official

Name: RICHARD MICHAEL RUBLE
Title or Position: OWNER
Credential:
Phone: 806-780-7000