Provider Demographics
NPI:1326166042
Name:MCCOMBS AND ASSOCIATES PHYSICAL THERAPY, INC.
Entity Type:Organization
Organization Name:MCCOMBS AND ASSOCIATES PHYSICAL THERAPY, INC.
Other - Org Name:LEVELLAND PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICAL THERAPIST
Authorized Official - Prefix:DR
Authorized Official - First Name:SPENCER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MCCOMBS
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:806-317-9738
Mailing Address - Street 1:9107 MILWAUKEE AVE
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424
Mailing Address - Country:US
Mailing Address - Phone:806-687-4311
Mailing Address - Fax:806-687-4313
Practice Address - Street 1:9107 MILWAUKEE AVE
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-2827
Practice Address - Country:US
Practice Address - Phone:806-687-4311
Practice Address - Fax:806-687-4313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-27
Last Update Date:2023-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1161388OtherLICENSE
TX660450000OtherFACILITY REGISTRATION NUMBER
TX660450000OtherFACILITY REGISTRATION NUMBER