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TTUHSC MANAGED CARE
NPI 1104490556
Clinic/Center - Prison Health in Lubbock, TX

Active since May 19, 2021
1215 AVENUE J, LUBBOCK, TX 79401(806) 743-3818 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: May 24, 2021, May 19, 2021 (2 updates tracked since 2021).

About Ttuhsc Managed Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TTUHSC MANAGED CARE (NPI 1104490556) is a healthcare organization registered as a prison health in Lubbock, Texas and active in the NPI registry since May 2021. The organization lists Will Rodriguez, Managed Care Executive Director, as its authorized official.

NPPES Registry Identity

NPI1104490556
Entity TypeOrganization
Primary Taxonomy261QP2400X
Legal Business NameTTUHSC MANAGED CARE
Location Address1215 AVENUE JLubbock, TX 79401-4038
Mailing Address1215 Avenue JLubbock, TX 79401-4038 · (806) 743-3818
Phone(806) 743-3818
Organization SubpartYesParent: Texas Tech University Health Sciences Center
Authorized OfficialWill RodriguezManaged Care Executive Director · (806) 743-3280
Enumeration DateMay 19, 2021
Last NPPES UpdateMay 24, 20212 updates tracked since enumeration
NPPES CertifiedMay 24, 2021
✔ NPI 1104490556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Prison HealthAmbulatory Health Care Facilities
Taxonomy Code261QP2400X
1215 AVENUE J, Lubbock, TX 79401
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Other Names 1

Former Legal Business NameTtuhsc Managed Care

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONNY WAYNE KNIGHTEN APRN
Nurse Practitioner (Psychiatric/Mental Health)
1215 AVENUE J
LUBBOCK, TX 79401
Lubbock County (806) 743-2686

Frequently Asked Questions

What is TTUHSC MANAGED CARE's NPI number?

The NPI number assigned to this healthcare provider is 1104490556, enumerated as an "organization" on May 19, 2021.

Where is the provider located?

The provider is located at 1215 AVENUE J LUBBOCK, TX 79401 and the phone number is (806) 743-3818.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QP2400X and a focus in Prison Health.