MEDICARE: HEATHER SCARBROUGH

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	176B00000X	Midwife
2	367A00000X	Advanced Practice Midwife	1005655	TX

General Provider Information

NPI Number	:	1598596389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER SCARBROUGH

Provider Business Mailing Address
First Line	:	2215 NASHVILLE AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1105
Country	:	US
Telephone Number	:	806-725-5844
Fax Number	:

Provider Business Practice Location Address
First Line	:	2102 OXFORD AVE
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1131
Country	:	US
Telephone Number	:	806-725-7530
Fax Number	:

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

Provider Enumeration Date	:	08/12/2024
Last Update Date	:	06/24/2026

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Directions to “ HEATHER SCARBROUGH ” Practice Location

Language	Start Address	Practice Location

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