Provider Demographics
NPI:1235427501
Name:LUMPKIN, DANNY (BS, ATP)
Entity Type:Individual
Prefix:
First Name:DANNY
Middle Name:
Last Name:LUMPKIN
Suffix:
Gender:M
Credentials:BS, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11411 LOOBY LN
Mailing Address - Street 2:
Mailing Address - City:AMARILLO
Mailing Address - State:TX
Mailing Address - Zip Code:79124-2032
Mailing Address - Country:US
Mailing Address - Phone:806-683-8109
Mailing Address - Fax:
Practice Address - Street 1:2112 S COULTER ST
Practice Address - Street 2:
Practice Address - City:AMARILLO
Practice Address - State:TX
Practice Address - Zip Code:79106-2514
Practice Address - Country:US
Practice Address - Phone:806-355-3363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-20
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246Z00000XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist, Other
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX2816340-01Medicaid
TX2816340-02Medicaid