Basic Information
| Provider Information | |||||||||
| NPI: | 1205853736 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | FELBERG | ||||||||
| FirstName: | JAMES | ||||||||
| MiddleName: | PHILLIP | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 5313 110TH ST | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794247757 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9704177474 | ||||||||
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| Practice Location | |||||||||
| Address1: | 602 INDIANA AVE | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794153364 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067610878 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/17/2006 | ||||||||
| LastUpdateDate: | 08/01/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 08/01/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | N0759 | TX | N | Allopathic & Osteopathic Physicians | Family Medicine | 207P00000X | N0759 | TX | N | Allopathic & Osteopathic Physicians | Emergency Medicine | 208M00000X | 98-257 | NM | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | MD26047 | ME | N | Allopathic & Osteopathic Physicians | Hospitalist | 208M00000X | N0759 | TX | Y | Allopathic & Osteopathic Physicians | Hospitalist |
ID Information
| ID | Type | State | Issuer | Description | 198916202 | 05 | TX | MEDICAID | P00714046 | 01 | TX | RAILROAD MEDICARE | OTHER |