Unknown Individual – Internal Medicine Physician, NPI 1790882694
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
9812 Slide Rd
Lubbock, TX 794245781
Phone: (806) 725-9945
Fax: (806) 723-6308
Type: Location
Grace Clinic, 4515, Marsha Sharp Freeway, Lubbock, Lubbock County, Texas, 79407, United States
LUBBOCK, TX 794072520
Phone: (806) 744-7223
Fax: (806) 740-3325
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 27 | 27 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 25 | 25 | $0 |
Insurance plans in this area (ZIP 79424)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | TX | 90670 | Pneumococcal vaccine for injection into muscle | 11 | 11 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Family Practice | TX | |
| - | TX | |
| Internal Medicine | TX | |
| - | TX | |
| - | AR | |
| Emergency Medicine, Family Practice | TN | |
| Nurse Practitioner | TX | |
| - | TX | |
| Obstetrics/Gynecology, Emergency Medicine | FL |
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