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NPI Code Detail

MEDICARE: OCEANS BEHAVIORAL HOSPITAL OF LUBBOCK, LLC

MEDICARE: OCEANS BEHAVIORAL HOSPITAL OF LUBBOCK, LLC
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
1283Q00000XPsychiatric Hospital

General Provider Information

NPI Number : 1104553825
Entity Type Code : Organization
Provider Name (Legal Business Name) : OCEANS BEHAVIORAL HOSPITAL OF LUBBOCK, LLC
Provider Business Mailing Address
First Line : 3905 HEDGCOXE RD UNIT 250249
Second Line :
City : PLANO
State : TX
Zip : 75025-0840
Country : US
Telephone Number : 504-645-8196
Fax Number : 972-464-0021
Provider Business Practice Location Address
First Line : 4202 PRINCETON ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79415-1308
Country : US
Telephone Number : 806-516-1190
Fax Number : 806-451-4250
Authorized Official
Title or Position : EVP
Name : LAURA TARANTINO
Credential :
Telephone Number : 985-377-2219
Provider Enumeration Date : 08/03/2022
Last Update Date : 02/24/2023

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Directions to “OCEANS BEHAVIORAL HOSPITAL OF LUBBOCK, LLC ” Practice Location

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