Physician Assistant

Address: 3514 21st Street, Lubbock, TX 79410

DAVID ANTHONY KING (NPI# 1467416636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467416636
Entity Type Individual
Gender Male
Credential PAC
Practice Address 3514 21st Street
TX 79410
Practice Telephone 8067251801
Practice Fax Number 8067237535
Mailing Address 3420 22nd Place
TX 79410
Mailing Telephone 8067257800
Mailing Fax Number 8067236532
Enumeration Date 2006-04-14
Last Update Date 2008-09-17
Is Sole Proprietor N


Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA00700 TX Physician Assistants & Advanced Practice Nursing Providers

Physician Overview

PECOS Associate Control (PAC) ID 0941260699
by Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20041016000109
Last Name KING
First Name DAVID
Middle Name A
Credential PA
Organization Legal Name COVENANT MEDICAL GROUP
Location 3420 22nd Place, Lubbock, TX 79410-1314
Phone Number 8067251800
Graduation Year 1996
Group Practice PAC ID 6901889393
Number of Group Practice Members 173

Office Location

Street Address 3514 21ST STREET
State TX
Zip Code 79410

Providers in the same location

NPI Name Taxonomy Address Enumeration
1922063718 Donald Lee Bricker Thoracic Surgery (Cardiothoracic Vascular Surgery) 3514 21st Street, Lubbock, TX 79410 2006-04-18

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1528655008 Christopher Hobart Pharmacist 3434 B 34th St, Lubbock, TX 79410 2020-12-30
1548878267 Covenant Medical Center Clinic/Center · Rehabilitation, Cardiac Facilities 3615 19th, Lifestyle Centre-East Parking Garage, Lubbock, TX 79410 2020-07-20
1669038626 Hub City Anesthesia Nurse Anesthetist, Certified Registered 3416 22nd Street, Lubbock, TX 79410 2019-05-15
1912447418 Lubbock Surgery Center, LLC Clinic/Center · Ambulatory Surgical 3416 22nd St, Lubbock, TX 79410 2017-03-02
1871032698 Lezlee Berry · Lezlee Hensley Pharmacist 3615 19th Street, Lubbock, TX 79410 2017-02-13
1376914101 Matthew Cotton Nurse Practitioner · Family 2424 Quaker Ave, Lubbock, TX 79410 2015-10-20
1841534864 Frank Nwabugwu Pharmacist 4120 34th Street, Lubbock, TX 79410 2012-11-15
1689954794 Dharmendra Kumar Pediatrics · Neonatal-Perinatal Medicine Covenant Children's Hospital, 4000 24th Street, Lubbock, TX 79410 2011-08-19
1518277177 T.r.m. Rao, M.d., P.a. Colon & Rectal Surgery 3809 22nd Street, Suite C, Lubbock, TX 79410 2010-10-18
1700196672 Hanford Consultations P.a. · Dr. Patrick Hanford Family Medicine 4000 22nd Place Suite 100, Lubbock, TX 79410 2010-10-13
Find all providers in zip 79410

Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255981346 Brittany Rae Merritt 3716 22nd Pl Ste B, Lubbock, TX 79410-1330 2019-09-19
1316294408 Ronald Caporale 1701 50th Street, Lubbock, TX 79412 2012-08-08
1548592355 Megan B Green 6205 43rd St # 100, Lubbock, TX 79407-3828 2010-02-03
1699002675 Jamie Fletcher · Jamie Nieto 5415 114th St, Lubbock, TX 79424 2009-11-11
1710160700 Jessica Ferguson 3606 21st St Ste 200, Lubbock, TX 79410-1225 2007-12-12
1699819953 Holly Jen Tyson 3811 24th St, Lubbock, TX 79410-1813 2007-02-19
1154496974 Kathleen Jo Horne 3801 21st St, Suite 200, Lubbock, TX 79410-1006 2006-11-21
1336252220 Gustavo Alonso Bendeck 4010 22nd St, Lubbock, TX 79410-1116 2006-08-16
1316903875 Kristina Lee 3904 101st St, Lubbock, TX 79423-5725 2006-04-25
1346246634 Phyllis Rose Peterson Ttuhsc Dept of Psychiatry, 3601 4th St., Ms 8103, Lubbock, TX 79430-8103 2005-06-22
Find all providers in LUBBOCK


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Zip Code 79410

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.