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3506 21ST ST LUBBOCK TX 794101212
AMY THOMAS is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1700064508. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 7214197268. The primary specialty is NURSE PRACTITIONER. The organization is COVENANT MEDICAL GROUP. The address is 3506 21ST ST, , LUBBOCK, TX, 794101212. The zip code is 794101212.
|Nation Provider ID||1700064508|
|PAC ID by PECOS||7214197268|
|Professional Enrollment ID||I20120328000682|
|Medical School Name||OTHER|
|Primary Specialty||NURSE PRACTITIONER|
|All secondary specialties|
|Organization Name||COVENANT MEDICAL GROUP|
|Group Practice PAC ID||6901889393|
|Number of Group Practice members||127|
|Address||3506 21ST ST, , LUBBOCK, TX, 794101212|
|Hospital affiliation LBN|