OrganizationActive
Department of State Health Services
NPI 1578639647 · State or Local Public Health Clinic/Center · Lubbock, TX
Provider details
- NPI number
- 1578639647
- Entity type
- Organization
- Primary specialty
- State or Local Public Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barry Wilson, Deputy Regional Director(806) 744-3577
Specialties & taxonomies
Ambulatory Health Care Facilities
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6302 Lola
Lubbock, TX 79424
Phone: (806) 744-3577
Fax: (806) 783-6475
Approximate (ZIP-level) locationGet directions
Mailing address
1100 W. 49th St.
Austin, TX 78756
Other names (DBA / former)
- Doing business as
- Texas Dshs - Hsr 1 Lubbock
Registry dates
- Enumerated
- 2006-11-28
- Last updated
- 2010-08-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.