OrganizationActive
Ttuhsc Managed Care
NPI 1104490556 · Prison Health Clinic/Center · Lubbock, TX
Provider details
- NPI number
- 1104490556
- Entity type
- Organization
- Primary specialty
- Prison Health Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Texas Tech University Health Sciences Center
- Organization subpart
- Yes
- Authorized official
- Will Rodriguez, Managed Care Executive Director(806) 743-3280
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
1215 Avenue J
Lubbock, TX 79401-4038
Phone: (806) 743-3818
Approximate (ZIP-level) locationGet directions
Mailing address
1215 Avenue J
Lubbock, TX 79401-4038
Other names (DBA / former)
- Former legal business name
- Ttuhsc Managed Care
Registry dates
- Enumerated
- 2021-05-19
- Last updated
- 2021-05-24
- Certified
- 2021-05-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.