JOSHUA SIMON THEIS MD
NPI 1164318754
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since June 18, 2025
3601 4TH ST, LUBBOCK, TX 79430(806) 743-1465 Get Directions Write a Review

NPPES record last updated: June 18, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Joshua Simon Theis Md NPPES

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

JOSHUA SIMON THEIS MD (NPI 1164318754) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since June 2025.

NPPES Registry Identity

NPI1164318754
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSHUA SIMON THEISCredential: MD
Location Address3601 4TH STLubbock, TX 79430-0002
Mailing Address3601 4th StLubbock, TX 79430-0002 · (806) 743-1465
Sole ProprietorNo
Enumeration DateJune 18, 2025
NPPES CertifiedJune 18, 2025
NPI 1164318754 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3601 4TH ST, Lubbock, TX 79430

Other Providers at the Same Location NPPES 20

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

Pathology (Pediatric Pathology)
3601 4TH ST, 1A115
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, 1A115
LUBBOCK, TX 79430
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, 1A115
LUBBOCK, TX 79430
Counselor (Mental Health)
3601 4TH ST
LUBBOCK, TX 79430
Nurse Anesthetist, Certified Registered
3601 4TH ST, STE 1C282
LUBBOCK, TX 79430
Pharmacist (Pharmacotherapy)
3601 4TH ST, # MS8162
LUBBOCK, TX 79430
Psychiatry & Neurology (Psychiatry)
3601 4TH ST, 1C102
LUBBOCK, TX 79430
Internal Medicine
3601 4TH ST, SUITE 4C201
LUBBOCK, TX 79430

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164318754, enumerated as an "individual" on June 18, 2025.

The provider is located at 3601 4TH ST LUBBOCK, TX 79430 and the phone number is (806) 743-1465.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.