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MR. JUAN ANTONIO MANCILLA JR.
NPI 1255059671
Student in an Organized Health Care Education/Training Program in Lubbock, TX

Active since August 22, 2022
3601 4TH ST, LUBBOCK, TX 79430(806) 743-1000 Get Directions Write a Review

NPPES record last updated: August 22, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Juan Antonio Mancilla Jr. NPPES

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

MR. JUAN ANTONIO MANCILLA JR. (NPI 1255059671) is an individual student in an organized health care education/training program in Lubbock, Texas and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1255059671
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMR. JUAN ANTONIO MANCILLA JR.
Location Address3601 4TH STLubbock, TX 79430-0002
Mailing Address1093 Hoben RdNocona, TX 76255-6561 · (940) 841-0159
Phone(806) 743-1000
Sole ProprietorNo
Enumeration DateAugust 22, 2022
NPPES CertifiedAugust 21, 2022
✔ NPI 1255059671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.

Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
3601 4TH ST, Lubbock, TX 79430
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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.

JAMES STEVEN DEMBOWSKI PHD
Speech-Language Pathologist
3601 4TH ST, STE. 2A300
LUBBOCK, TX 79430
Lubbock County (806) 743-5678
CHARLES KIM D.O.
Anesthesiology
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3004
BAILEY WADDINGTON MD
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-6840
SARA SYED AHMED MD
Psychiatry & Neurology (Psychiatry)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2800
DR. SAFAA S. LABIB M.D.
Pathology (Anatomic Pathology & Clinical Pathology)
3601 4TH ST, SUITE 1A115
LUBBOCK, TX 79430
Lubbock County (806) 743-2155
MATTHEW PAUL FERGUSON M.D.
Orthopaedic Surgery (Sports Medicine)
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-2475
KORY NOEL HOWELL DO
Student in an Organized Health Care Education/Training Program
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3381
JANICE STACHOWIAK M.D.
Internal Medicine
3601 4TH ST
LUBBOCK, TX 79430
Lubbock County (806) 743-3150

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Juan Mancilla's NPI number?

The NPI number for Juan Mancilla is 1255059671. It was assigned to this individual provider in the NPPES registry on August 22, 2022.

Where is Juan Mancilla located?

Juan Mancilla practices at 3601 4th St, Lubbock, TX 79430. The listed phone number is (806) 743-1000.

What is Juan Mancilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Juan Mancilla was last updated on August 22, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.