MEDICARE: FLATLAND PSYCHIATRY PLLC

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	2084P0800X	Psychiatry Physician

General Provider Information

NPI Number	:	1235936360
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FLATLAND PSYCHIATRY PLLC

Provider Business Mailing Address
First Line	:	3521 50TH ST # 1105
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79413-4003
Country	:	US
Telephone Number	:	806-370-3705
Fax Number	:	800-380-6717

Provider Business Practice Location Address
First Line	:	6410 98TH ST STE 100
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79424-9709
Country	:	US
Telephone Number	:	806-370-3705
Fax Number	:	800-380-6717

Authorized Official
Title or Position	:	PHYSICIAN ASSISTANT
Name	:	JESSICA MILLER
Credential	:	PA
Telephone Number	:	806-370-3705

Provider Enumeration Date	:	02/26/2025
Last Update Date	:	03/05/2026

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