Cushman, Walter H

Cushman, Walter H is an individual health care provider with primary practice located at 4005 24Th St , Lubbock TX 79410-1835. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Cushman, Walter H can be contacted via phone (806) 792-2767.

Contact Information

Primary practice address
4005 24Th St Lubbock TX 79410-1835
Phone: (806) 792-2767
Fax: (888) 861-8858
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X J9866 Texas
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X J9866 Texas

Profile Details

NPI number 1831193481
LBN Legal business name Cushman, Walter H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2005
Last updated Feb 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1831193481 NPPES
Texas MEDICAID 126616504
Texas Other 300109579
Texas Other 87452Y
Texas Other 111137100
Texas MEDICAID Z0681

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