Ttuhsc Managed Care

NPI #1104490556 in Lubbock, Texas

Provider Information

NPI Number
1104490556
Entity Type
Organization
Organization Name
Ttuhsc Managed Care
Subpart
Yes (part of a larger organization)
Parent Organization
TEXAS TECH UNIVERSITY HEALTH SCIENCES CENTER
Primary Specialty
Clinic/Center - Prison Health
Enumeration Date
May 19, 2021
Last Updated
May 24, 2021

Practice Location

Address
1215 AVENUE J
State
Texas
ZIP Code
79401-4038
Phone
(806) 743-3818

Authorized Official

Name
MR. WILL RODRIGUEZ
Title
MANAGED CARE EXECUTIVE DIRECTOR
Phone
(806) 743-3280

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Prison HealthPrison Health

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