MEDICARE: JOSE A SUAREZ MD

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	207R00000X	Internal Medicine Physician	L6189	TX
2	207RC0000X	Cardiovascular Disease Physician	L6189	TX
3	207RI0011X	Interventional Cardiology Physician	L6189	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	202000166	OTHER	NM	PRESBYTERIAN COMMERCIAL
2	87928Z	OTHER	TX	HMO BLUE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	S0140833	OTHER	TX	DPS
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	144533100	OTHER	TX	FIRSTCARE COMMERCIAL
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	8S5201	OTHER	TX	BC/BS
11	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1669470332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSE A SUAREZ MD

Provider Business Mailing Address
First Line	:	4316 23RD ST
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79410-1812
Country	:	US
Telephone Number	:	806-701-5858
Fax Number	:	806-701-4184

Provider Business Practice Location Address
First Line	:	1655 MAIN ST STE 201
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79401
Country	:	US
Telephone Number	:	806-701-5858
Fax Number	:	806-701-5799

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

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	03/07/2023

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Directions to “ JOSE A SUAREZ MD” Practice Location

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