Provider Demographics
NPI:1952339798
Name:SOUTH PLAINS PUBLIC HEALTH DISTRICT
Entity Type:Organization
Organization Name:SOUTH PLAINS PUBLIC HEALTH DISTRICT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/MEDICAL AUTHORITY
Authorized Official - Prefix:
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:S
Authorized Official - Last Name:KNOX
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-637-2164
Mailing Address - Street 1:606 N 4TH ST
Mailing Address - Street 2:P.O. BOX 1291
Mailing Address - City:LAMESA
Mailing Address - State:TX
Mailing Address - Zip Code:79331-4506
Mailing Address - Country:US
Mailing Address - Phone:806-872-5863
Mailing Address - Fax:
Practice Address - Street 1:606 N 4TH ST
Practice Address - Street 2:
Practice Address - City:LAMESA
Practice Address - State:TX
Practice Address - Zip Code:79331-4506
Practice Address - Country:US
Practice Address - Phone:806-872-5863
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXC7676251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare