Provider Demographics
NPI:1982649307
Name:WEST TEXAS PEDIATRICS LLP
Entity Type:Organization
Organization Name:WEST TEXAS PEDIATRICS LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARGARET
Authorized Official - Middle Name:M
Authorized Official - Last Name:BENNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:806-771-3517
Mailing Address - Street 1:5215 96TH
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79424-4413
Mailing Address - Country:US
Mailing Address - Phone:806-780-6868
Mailing Address - Fax:806-780-2065
Practice Address - Street 1:5215 96TH
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79424-4413
Practice Address - Country:US
Practice Address - Phone:806-780-6868
Practice Address - Fax:806-780-2065
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Single Specialty