MEDICARE: DR. SUBHASH C. BATRA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	J7421	TX

General Provider Information

NPI Number	:	1003828997
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SUBHASH C. BATRA M.D.

Provider Business Mailing Address
First Line	:	2424 50TH ST RM 201
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79412-2559
Country	:	US
Telephone Number	:	806-785-3460
Fax Number	:	806-785-0150

Provider Business Practice Location Address
First Line	:	2424 50TH ST RM 201
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79412-2559
Country	:	US
Telephone Number	:	806-785-3460
Fax Number	:	806-785-0150

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2006
Last Update Date	:	07/08/2007

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