Thomas Caudill Githens, DO

Offices

3 locations · Intermountain Medical Group Grand Junction, LLC · 297 clinicians in this group

Looking this up.

Hospitals listed: Intermountain Health St. Mary'S Regional Hospital. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Githens’s office to ask if they take your plan before you enroll.

State licence records

1 licence

Texas BP10046473Physician-in-Training Permit · since 2013 · expires 2018-06-30
Permit TerminatedNo board action on this licenceCheck it with the state

We check Colorado, Delaware, Florida, Illinois, Maryland, New Jersey, New York, Tennessee, Texas, Virginia, Washington, plus California above. A state that is not in this list has not been checked, which is not the same as clear.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

Intermountain Health St. Mary'S Regional HospitalGrand Junction, COAcute Care Hospital · Voluntary non-profit - Church · Has an emergency department · Birthing-friendlyPart of Intermountain Healthcare, which runs 33 hospitals in 4 statesPatients rate it 3 of 5 · 72% would definitely recommend it
Overall rating: 4 of 5 starsBetter than the national rate — Clostridium Difficile (C.Diff): 0.222, Oct 2024 – Sep 2025

See every measure and the patient survey for Intermountain Health St. Mary'S Regional Hospital

Behind the star rating — Deaths: 0 better, 7 the same, 1 worse of 8 measures. Safety: 2 better, 5 the same, 0 worse of 7 measures. Readmissions: 2 better, 9 the same, 0 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

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Every scored measure at Intermountain Health St. Mary'S Regional Hospital

Clostridium Difficile (C.Diff)Infections	0.222	Better	Oct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths	0.95 (0.03 to 1.87) · 1,161 cases	No different	Jul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths	0.99 (0.69 to 1.29)	No different	Jul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths	184.86 (138.36 to 231.36) · 122 cases	No different	Jul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths	1.5 · 95 cases	None	Jul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths	9.2 · 72 cases	None	Jul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths	11.2 · 271 cases	None	Jul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths	13.1 · 232 cases	None	Jul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths	17.5 · 235 cases	None	Jul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths	11.1 · 382 cases	None	Jul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths	3.1 · 2,987 cases	None	Jul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths	0.25 (0.05 to 0.45) · 4,897 cases	No different	Jul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths	0.26 (0.06 to 0.45) · 5,033 cases	No different	Jul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths	3.08 (1.2 to 4.96) · 1,953 cases	No different	Jul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths	1.6 (0.11 to 3.1) · 817 cases	No different	Jul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths	3.23 (1.84 to 4.62) · 1,781 cases	No different	Jul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths	6.23 (0.3 to 12.16) · 746 cases	No different	Jul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths	3.86 (0.43 to 7.3) · 773 cases	No different	Jul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths	1.85 (0.42 to 3.29) · 418 cases	No different	Jul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths	1.08 (0.41 to 1.75) · 4,037 cases	No different	Jul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths	4.8 · 30 cases	None	Apr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections	0.701	No different	Oct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections	1.032	No different	Oct 2024 – Sep 2025
MRSA BacteremiaInfections	0.207	No different	Oct 2024 – Sep 2025
SSI - Colon SurgeryInfections	1.129	No different	Oct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits	11.8 · 413 cases	None	Jul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits	20.2 · 334 cases	None	Jul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits	-24.7 · 303 cases	None	Jul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits	-37.7 · 256 cases	None	Jul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits	-5.9 · 247 cases	None	Jul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits	16.8 · 368 cases	None	Jul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits	5.5 (3.8 to 8) · 133 cases	No different	Jan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits	10.7 (7.8 to 14.3) · 133 cases	No different	Jan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits	5.7 · 29 cases	None	Jul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits	9.6 · 103 cases	None	Jul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits	19.8 · 146 cases	None	Jul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits	13.5 (10.2 to 18.2) · 201 cases	No different	Jan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits	1.1 (0.9 to 1.4) · 691 cases	No different	Jan 2024 – Dec 2024

What patients said (980 patients answered, 26% of those asked)

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Patient survey stars by topic at Intermountain Health St. Mary'S Regional Hospital

Cleanliness	4
Nurse communication	3
Doctor communication	3
Communication about medicines	3
Discharge information	4
Overall hospital rating	4
Quietness	3
Recommend hospital	4

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Share of patients giving the best answer at Intermountain Health St. Mary'S Regional Hospital

Room was "always" clean	78%
Nurses "always" communicated well	78%
Doctors "always" communicated well	77%
Staff "always" explained	59%
Yes, staff "did" give patients this information	87%
Yes, staff "did" give patients information about help after discharge	86%
Doctors "always" explained things so they could understand	72%
Doctors "always" listened carefully	76%
Doctors "always" treated them with courtesy and respect	84%
Patients who gave a rating of "9" or "10" (high)	74%
Staff "always" explained new medications	73%
Nurses "always" explained things so they could understand	73%
Nurses "always" listened carefully	75%
Nurses "always" treated them with courtesy and respect	85%
"Always" quiet at night	58%
"YES", patients would definitely recommend the hospital	72%
Staff "always" explained possible side effects	46%
Yes, staff "did" give patients information about possible symptoms	88%

Original Medicare doctor bills

$101,030

Medicare paid this office $101,030 for 203 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

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Largest Original Medicare bills

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	$16,224	$954
Treatment of broken neck of thigh bone with bone implant	15	$14,686	$979
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	47	$4,720	$100
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	51	$3,466	$61
Short return visit (20+ min)	33	$2,844	$63

See all 7 services

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Every Original Medicare service billed

Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	16	$16,224	$954
Treatment of broken neck of thigh bone with bone implant	15	$14,686	$979
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	47	$4,720	$100
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	51	$3,466	$61
Short return visit (20+ min)	33	$2,844	$63
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes	53	$2,584	$37
X-ray of thigh bone, minimum 2 views	17	$583	$26

Procedures Medicare counted

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Procedure volume Medicare published

Hip replacement	1-10	None
Removal of tissue	22	More than 70% of doctors who do this

Who their Medicare patients are

203 Original Medicare patients in 2024. Average age 77 · Under 65 6% · 85 and older 27% · Women 59% · Also on Medicaid 17% · Health risk score 1.81. Sicker patients than 9 in 10 peers; the typical orthopedic surgery clinician is at 1.13.

Conditions among them: High blood pressure 74% · Depression 39% · Chronic kidney disease 35% · Diabetes 34% · Atrial fibrillation 34% · Heart failure 32% · Coronary heart disease 30% · COPD 25% · Dementia 25% · Stroke 17% · Cancer 10%.

The office billed $307,926, Medicare allowed $129,032 and paid $101,030; for 614 services of 118 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

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Original Medicare by year

2024	203	614	77	1.81	$307,926	$101,030
2023	181	600	76	1.75	$292,192	$88,938
2022	167	645	75	1.48	$283,709	$86,583
2021	173	660	76	1.64	$313,408	$103,522
2020	167	597	72	2.21	$289,588	$94,000
2019	91	198	74	1.86	$187,412	$46,686
2018	18	22	76	1.00	$49,855	$4,446

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 9 services

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Original Medicare services billed in 2023

Treatment of broken neck of thigh bone with bone implant	12	$11,898	$992
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	11	$10,615	$965
Subsequent hospital care with straightforward or low level of medical decision making, per day at least 25 minutes	86	$5,175	$37
Short return visit (20+ min)	40	$3,090	$67
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	14	$1,371	$98
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	19	$1,242	$65
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	15	$825	$55
X-ray of thigh bone, minimum 2 views	15	$688	$26
Short return visit	14	$648	$41

2022: 9 services

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Original Medicare services billed in 2022

Treatment of broken neck of thigh bone with bone implant	11	$10,938	$994
Short return visit (20+ min)	33	$3,305	$64
Initial hospital care with straightforward or low-level medical decision making at least 55 minutes	24	$2,465	$103
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	28	$1,985	$55
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	15	$1,196	$80
X-ray of ankle, minimum of 3 views	16	$1,002	$29
Subsequent hospital care with moderate levelof medical decision making at least 50 minutes	11	$974	$81
X-ray of thigh bone, minimum 2 views	13	$686	$26
Short return visit	17	$601	$33

2021: 10 services

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Original Medicare services billed in 2021

Treatment of broken neck of thigh bone with bone implant	13	$12,156	$935
Treatment of upper end of broken thigh bone with placement of stabilizing device or prosthetic replacement	12	$11,826	$986
Short return visit (20+ min)	41	$3,332	$67
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	30	$2,327	$78
New patient visit (30+ min)	22	$1,857	$84
X-ray of hip, 2-3 views	24	$1,504	$36
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	25	$1,408	$56
Short return visit	16	$747	$44
X-ray of ankle, minimum of 3 views	13	$716	$29
X-ray of thigh bone, minimum 2 views	14	$568	$26

2020: 8 services

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Original Medicare services billed in 2020

Treatment of broken neck of thigh bone with bone implant	12	$12,416	$1,035
Initial hospital care with straightforward or low level of medical decision making, per day at least 40 minutes	55	$4,661	$82
Short return visit (20+ min)	37	$3,079	$60
Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	24	$1,433	$57
X-ray of hip, 2-3 views	20	$1,005	$31
X-ray of thigh bone, minimum 2 views	12	$958	$27
New patient visit (30+ min)	15	$944	$63
Imaging guidance for procedure, 60 minutes or less	12	$154	$13

2019: 1 service

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Original Medicare services billed in 2019

Subsequent hospital care with moderate levelof medical decision making at least 35 minutes	25	$1,633	$58

Medicaid work

$742 in 2022

Medicaid paid $742 for 13 billed services this clinician did in 2022, up to 12 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

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Largest Medicaid services in 2022

Short return visit (20+ min)	13	$742

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Medicaid work by year

2022	13	1	12	$742
2020	36	1	19	$1,735

See the largest Medicaid services in earlier years

2020

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Largest Medicaid services in 2020

Short return visit (20+ min)	36	$1,735

Drugs they prescribed that Part D paid

$397

Pharmacies billed $397 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

Opioids were 47% of their Part D prescriptions (17 of 36) in 2024. Too few prescriptions to compare fairly with other clinicians.

36 generic and 0 brand-name prescriptions · $397 in drug cost.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

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Largest Part D drug costs

Oxycodone	11	$38	$3

Year by year

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Part D prescribing by year

2024	36	20	47% (17)	0%	$397
2023	38	20	47% (18)	0%	$382
2022	48	29	33% (16)	0%	$300
2021	33	26	46% (15)	0%	$341
2020	39	20	67% (26)	0%	$178
2017	41	27	None	None	$2,967
2016	41	26	37% (15)	None	$1,099
2015	62	44	42% (26)	23%	$1,451
2014	37	28	57% (21)	None	$1,137
2013	15	None	None	0%	$227

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

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Part D drugs prescribed in 2023

Oxycodone	15	$68	$5

2022: 2 drugs

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Part D drugs prescribed in 2022

Oxycodone	12	$67	$6
Meloxicam	17	$45	$3

2021: 1 drug

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Part D drugs prescribed in 2021

Oxycodone	12	$46	$4

2020: 1 drug

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Part D drugs prescribed in 2020

Oxycodone	20	$102	$5

2015: 2 drugs

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Part D drugs prescribed in 2015

Voltaren	13	$609	$47
Tramadol	16	$71	$4

2014: 1 drug

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Part D drugs prescribed in 2014

Hydrocodone-Acetaminophen	16	$189	$12

Money from drug and device companies

$337 in 2025

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Industry payments by year

2025	5	6	None	$337
2024	4	5	None	$255
2023	4	9	None	$455
2022	2	8	None	$252
2021	2	4	None	$177
2020	2	2	None	$172
2019	4	13	None	$972

Paid work is consulting, speaking, honoraria and royalties, as opposed to meals and travel.

A payment is not proof that care is biased.

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Payments by company

Globus Medical	Arbor	$148	1 payment Meals for Arbor · 2025-11-04 · $148
KLS-Martin L.P.	None	$66	1 payment Meals · 2025-08-26 · $66
Bioventus	Exogen Ultrasound Bone Healing System	$45	1 payment Meals for Exogen Ultrasound Bone Healing System · 2025-05-23 · $45
DePuy Synthes Sales	Tfn-Advance	$39	1 payment Meals for Tfn-Advance · 2025-08-15 · $39
Stryker	Pangea	$39	2 payments Meals for Mako · 2025-06-06 · $18 Meals for Pangea · 2025-04-10 · $21

See all 6 published payments

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Every published payment

Globus Medical	Meals · 2025-11-04	Arbor	$148
KLS-Martin L.P.	Meals · 2025-08-26	None	$66
DePuy Synthes Sales	Meals · 2025-08-15	Tfn-Advance	$39
Stryker	Meals · 2025-06-06	Mako	$18
Bioventus	Meals · 2025-05-23	Exogen Ultrasound Bone Healing System	$45
Stryker	Meals · 2025-04-10	Pangea	$21

See earlier years (2024, 2023, 2022, 2021, 2020, 2019)

2024: $255

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Payments by company in 2024

KLS-Martin L.P.	None	$109	2 payments Meals · 2024-11-23 · $75 Meals · 2024-07-09 · $33
DePuy Synthes Sales	VA-Lcp	$98	1 payment Meals for VA-Lcp · 2024-10-07 · $98
Organogenesis	Puraply Am	$29	1 payment Meals for Puraply Am · 2024-10-31 · $29
Stryker	T2 Alpha	$20	1 payment Meals for T2 Alpha · 2024-03-15 · $20

2023: $455

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Payments by company in 2023

KLS-Martin L.P.	None	$342	5 payments Meals · 2023-06-14 · $53 Meals · 2023-05-31 · $50 Meals · 2023-04-29 · $33 Meals · 2023-04-28 · $170 Meals · 2023-04-27 · $36
Globus Medical	Cable	$50	1 payment Meals for Cable · 2023-10-19 · $50
Stryker	Allograft Bio-Implants	$47	2 payments Meals for Allograft Bio-Implants · 2023-04-28 · $26 Meals for Allograft Bio-Implants · 2023-02-22 · $21
Ucb	None	$16	1 payment Meals · 2023-09-13 · $16

2022: $252

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Payments by company in 2022

KLS-Martin L.P.	None	$200	7 payments Meals · 2022-07-12 · $19 Meals · 2022-04-30 · $23 Meals · 2022-04-29 · $17 Meals · 2022-04-29 · $88 Meals · 2022-04-29 · $19 Meals · 2022-04-28 · $17 Meals · 2022-02-13 · $17
Stryker	Axsos	$52	1 payment Meals for Axsos · 2022-03-02 · $52

2021: $177

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Payments by company in 2021

Stryker	Gamma	$113	2 payments Meals for Evolve Proline · 2021-07-03 · $50 Meals for Gamma · 2021-02-24 · $63
DePuy Synthes Sales	Na	$64	2 payments Meals for Na · 2021-07-12 · $40 Meals for Na · 2021-06-28 · $24

2020: $172

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Payments by company in 2020

Smith+Nephew	Evos Mini	$92	1 payment Meals for Evos Mini · 2020-09-08 · $92
DePuy Synthes Sales	Jointpoint	$80	1 payment Meals for Jointpoint · 2020-02-04 · $80

2019: $972

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Payments by company in 2019

DePuy Synthes Sales	Elite	$507	6 payments Meals for Attune · 2019-12-09 · $72 Meals · 2019-09-25 · $58 Meals for Elite · 2019-07-12 · $46 Meals for VA-Lcp Plates & Screws · 2019-06-10 · $93 Meals for Elite · 2019-05-22 · $119 Meals for Cmf Ceramics & Allograft · 2019-02-25 · $118
Stryker	T2	$308	3 payments Meals for T2 · 2019-10-24 · $25 Meals for T2 · 2019-04-29 · $140 Meals for T2 · 2019-01-17 · $144
Smith+Nephew	Ilizarov System	$86	1 payment Meals for Ilizarov System · 2019-12-04 · $86
Medical Device Business Services	Corail	$70	3 payments Meals for Corail · 2019-05-17 · $20 Meals for Corail · 2019-05-17 · $30 Meals for Corail · 2019-05-17 · $21

Professional record

NPI: 1841636917
Licence: CA 20A16204, TX BP10046473Texas BP10046473: Permit Terminated
Group: Intermountain Medical Group Grand Junction, LLC
Gender: Male

More record details

Sole proprietor: Yes
Taxonomy: Orthopedic surgery (207X00000X)
Mailing address: 3601 4th St, Ms 9436, Lubbock, TX, 79430
NPI first listed: 2013-05-16
NPI last updated: 2018-09-25

This is when the NPI record was last certified, not a medical board exam.

Extra NPI addresses: 3601 4th St, Lubbock, TX, 79430