WEST TEXAS NEUROLOGY CLINIC LLC
NPI 1407529704
Neurological Surgery in Lubbock, TX

Active since August 01, 2021CLIA 45D2297580 · Waiver
4602 67TH ST, LUBBOCK, TX 79414(214) 680-0860 Get Directions Write a Review

NPPES record last updated: July 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 11, 2024, Mar 26, 2023 (2 updates tracked since 2023).

About West Texas Neurology Clinic Llc NPPES

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

WEST TEXAS NEUROLOGY CLINIC LLC (NPI 1407529704) is a healthcare organization registered as a neurological surgery in Lubbock, Texas and active in the NPI registry since August 2021. The organization holds a CLIA Waiver certificate valid through January 17, 2028 and lists Ahmad Sabouni, President, as its authorized official.

NPPES Registry Identity

NPI1407529704
Entity TypeOrganization
Primary Taxonomy207T00000X
Legal Business NameWEST TEXAS NEUROLOGY CLINIC LLC
Location Address4602 67TH STLubbock, TX 79414-5002
Mailing Address4602 67th StLubbock, TX 79414-5002 · (806) 993-7040
Organization SubpartNo
Authorized OfficialAhmad SabouniPresident · (806) 993-7040
Enumeration DateAugust 1, 2021
Last NPPES UpdateJuly 11, 20242 updates tracked since enumeration
NPPES CertifiedJuly 11, 2024
✔ NPI 1407529704 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
4602 67TH ST, Lubbock, TX 79414

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

West Texas Neurology Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by March 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateTexasEnrollment IDO20220121000291Non-DME Part B · Clinic/Group PracticeDue dateMarch 31, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to West Texas Neurology Clinic LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1659892644
4602 67TH ST
Lubbock, TX 79414
(806) 993-7040
✔ PECOSSame address
Nurse Practitioner
NPI 1497419477
4602 67TH ST
Lubbock, TX 79414
(806) 725-4115
✔ PECOS✔ Accepts MedicareSame address
Neurology
NPI 1124199187
4602 67TH ST
Lubbock, TX 79414
(806) 993-7040
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1497467393
6405 107TH ST STE 200
Lubbock, TX 79424
(806) 878-0254
✔ PECOS3.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2297580

West Texas Neurology Clinic · Lubbock, TX
Active · expires Jan 17, 2028
CLIA Number45D2297580
Laboratory TypePhysician Office
Certificate Effective DateJanuary 18, 2026
Certificate Expiration DateJanuary 17, 2028
Laboratory DirectorAhmad Sabouni
Laboratory Phone(806) 993-7040
Laboratory LocationWest Texas Neurology Clinic4602 67th Street, Lubbock, TX 79414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 West Texas Neurology Clinic LLC's NPI number?

The NPI number for West Texas Neurology Clinic LLC is 1407529704. It was assigned to this organization in the NPPES registry on August 1, 2021.

Where is West Texas Neurology Clinic LLC located?

West Texas Neurology Clinic LLC is located at 4602 67th St, Lubbock, TX 79414. The listed phone number is (214) 680-0860.

What is West Texas Neurology Clinic LLC's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is West Texas Neurology Clinic LLC enrolled in Medicare?

Yes. West Texas Neurology Clinic LLC is registered in the Medicare PECOS enrollment system.

When is West Texas Neurology Clinic LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Texas, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through West Texas Neurology Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to West Texas Neurology Clinic LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (3) and Neurology (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does West Texas Neurology Clinic LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2297580) is associated with this NPI, valid through January 17, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does West Texas Neurology Clinic LLC accept?

Health plans from WellPoint list West Texas Neurology Clinic LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for West Texas Neurology Clinic LLC was last updated on July 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.