MEDICARE: HEALTHCARE OF WEST TEXAS 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
1	251J00000X	Nursing Care Agency	007781	TX
2	225X00000X	Occupational Therapist	007781	TX
3	235Z00000X	Speech-Language Pathologist
4	225100000X	Physical Therapist	007781	TX
5	251E00000X	Home Health Agency	007781	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	007781	OTHER	TX	STATE OPERATOR LICENSE
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	45D2145740	OTHER		CLIA

General Provider Information

NPI Number	:	1710927983
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALTHCARE OF WEST TEXAS LLC

Provider Business Mailing Address
First Line	:	101 W RENNER RD STE 420
Second Line	:
City	:	RICHARDSON
State	:	TX
Zip	:	75082-2022
Country	:	US
Telephone Number	:	877-525-3338
Fax Number	:

Provider Business Practice Location Address
First Line	:	3223 S LOOP 289 STE 101B
Second Line	:
City	:	LUBBOCK
State	:	TX
Zip	:	79423-8312
Country	:	US
Telephone Number	:	806-971-0042
Fax Number	:	806-797-6694

Authorized Official
Title or Position	:	PRESIDENT/CEO
Name	:	JOHN BRANDON DURBIN
Credential	:
Telephone Number	:	806-771-0995

Provider Enumeration Date	:	06/07/2006
Last Update Date	:	04/15/2026

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Directions to “HEALTHCARE OF WEST TEXAS LLC ” Practice Location

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