Provider Demographics
NPI:1427014927
Name:PIRTLE, FLOYD (MD)
Entity Type:Individual
Prefix:DR
First Name:FLOYD
Middle Name:
Last Name:PIRTLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 CITY BANK PKWY
Mailing Address - Street 2:STE 35
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79407-3544
Mailing Address - Country:US
Mailing Address - Phone:806-761-0333
Mailing Address - Fax:806-785-7685
Practice Address - Street 1:3502 9TH ST STE 110
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79415-3367
Practice Address - Country:US
Practice Address - Phone:806-762-8461
Practice Address - Fax:806-761-0761
Is Sole Proprietor?:No
Enumeration Date:2006-04-24
Last Update Date:2022-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK5665207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX043739403Medicaid
TX043739403Medicaid
8399K8Medicare ID - Type Unspecified