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COVENANT MEDICAL GROUP

Allergy and Immunology

Lubbock, Texas

Provider NPI: 1376598904

Organization Information:
Organization Name:  COVENANT MEDICAL GROUP


Practice Location:
2215 NASHVILLE AVE  LUBBOCK, TX 79410 US
Tel: 806-725-4800  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N208600000XPhysicians
Surgery
N208M00000XPhysicians
Hospitalist
N207X00000XPhysicians
Orthopaedic Surgery
N208000000XPhysicians
Pediatrics
N207K00000XPhysicians
Allergy & Immunology
N207L00000XPhysicians
Anesthesiology
N207N00000XPhysicians
Dermatology
N207R00000XPhysicians
Internal Medicine
N207T00000XPhysicians
Neurological Surgery
N207V00000XPhysicians
Obstetrics & Gynecology
Y207Q00000XPhysicians
Family Medicine

Other Provider Identifiers:

IssuerNumberStateType
BCBS TX0038GHTX01
141656201TX05
G1594NM05
BCBS NMNM007E61NM01
A7086NM05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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