Lubbock Integrated Medical Institute PLLC
NPI 1790130169ActiveOrganization· General Practice· Lubbock, TX
General Practice in Lubbock, Texas, registered in NPPES in May 2016. The authorized official on file is Christopher Rose, M.D., Owner. Enrolled in Medicare as dme supplier - multi-specialty - physician and part b supplier - clinic/group practice.
Overview
| NPI | 1790130169 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2016 |
| Last updated in NPPES | Dec 21, 2021 |
| Certified by provider | Dec 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | K7879 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Multi-Specialty - Physician (TX); Part B Supplier - Clinic/Group Practice (TX) |
|---|
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