Adam Cruz
Student in an Organized Health Care Education/Training Program in Lubbock, TX. Individual provider (NPI-1).
Details
- NPI
- 1558089326
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adam Cruz
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 18, 2022
- Certification date
- Aug 18, 2022
- Last updated
- Aug 18, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
7415 103rd StLubbock, TX 79424-6475
Phone 713-858-9905
Mailing address
7415 103rd StLubbock, TX 79424-6475
Phone 713-858-9905
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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