Provider Demographics
NPI:1972661742
Name:G. BAIRD HELFRICH, M.D., P.A.
Entity Type:Organization
Organization Name:G. BAIRD HELFRICH, M.D., P.A.
Other - Org Name:WEST TEXAS TRANSPLANT SURGICAL ASSOCIATES
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:BAIRD
Authorized Official - Last Name:HELFRICH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-792-0595
Mailing Address - Street 1:3606 21ST STREET
Mailing Address - Street 2:SUITE 104
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410
Mailing Address - Country:US
Mailing Address - Phone:806-792-0595
Mailing Address - Fax:806-792-9255
Practice Address - Street 1:3606 21ST STREET
Practice Address - Street 2:SUITE 104
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-792-0595
Practice Address - Fax:806-792-9255
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-05
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXH4072208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208600000XAllopathic & Osteopathic PhysiciansSurgeryGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
0010HWOtherBLUE CROSS BLUE LINK
NM75438755OtherCONSULTEC
TX152327601Medicaid
DA2638OtherRAILROAD MEDICARE
014273OtherTEXAS KIDNEY HEALTH
TX152327601Medicaid