Covenant Medical Group in Lubbock - Surgery
Covenant Medical Group - NPI 1376598904
Covenant Medical Group is a Surgery in Lubbock, Texas. Covenant Medical Group practices all healthcare services and medical treatments related to Surgery. The NPI Number for Covenant Medical Group is 1376598904. The last update date is 2020-09-23.
Covenant Medical Group's current location address is 2215 Nashville Ave, Lubbock, Texas. You can contact this provider via phone number 8067255844 and fax number 8067236532. The mailing address for Covenant Medical Group is 2215 Nashville Ave, Lubbock, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Covenant Medical Group |
|---|---|
| Address | 2215 Nashville Ave, Lubbock, Texas |
| Phone Number | 8067255844 |
| Fax Number | 8067236532 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Kothmann Kristen |
| Telephone Number | 8067254800 |
NPI Number Detail
| NPI Number | 1376598904 |
|---|---|
| Provider Enumeration Date | 2006-05-23 |
| Last Updated Date | 2020-09-23 |
Provider Mailing Address Detail
| Address | 2215 Nashville Ave |
|---|---|
| City | Lubbock |
| State | Texas (TX) |
| Post Code | 794101105 |
| Phone Number | 8067255844 |
| Fax Number | 8067236532 |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| A7086 | NM | -- | |
| NM007E61 | NM | BCBS NM | |
| 0038GH | TX | BCBS TX | |
| 141656201 | TX | -- | |
| G1594 | NM | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Covenant Medical Group by the Centers for Medicare & Medicaid Services (CMS)?
The Covenant Medical Group has been assigned the NPI (National Provider Identifier) 1376598904. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Can you provide the Covenant Medical Group's physical address?
The Covenant Medical Group is physically located at 2215 Nashville Ave, in the city of Lubbock, TX, with the postal code 794101105.
What is Covenant Medical Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Covenant Medical Group is Surgery, and the taxonomy code that classifies this field of practice is 208600000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1376598904 to Covenant Medical Group?
The Centers for Medicare & Medicaid Services originally issued the 1376598904 to Covenant Medical Group on 2006-05-23.
As of what date were the Covenant Medical Group's details last updated?
The information pertaining to the Covenant Medical Group, including its address, specialty, and other details, was most recently updated on 2020-09-23.
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