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General NPI Number Information
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NPI Number | 1174460281
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Entity Type | Organization
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Legal Business Name | TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER - SON - LUBBOCK
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 05/01/2026
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Provider Practice Location Address
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Address Line | 2602 AVENUE Q
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City | LUBBOCK
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State | TX
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Zip | 79411-2444
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Country | US
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Telephone | 806-744-4432
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Fax | 806-761-0611
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Provider Business Mailing Address
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Address Line | 301 40TH ST
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City | LUBBOCK
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State | TX
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Zip | 79404-2746
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Country | US
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Telephone | 806-744-4432
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Fax | 806-743-9363
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Authorized Official
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Title or Position | COORDINATOR
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Name | ROSEMARY PEREZ
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Credential |
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Telephone | 806-743-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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