Basic Information
| Provider Information | |||||||||
| NPI: | 1871595124 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RACZ | ||||||||
| FirstName: | GABOR | ||||||||
| MiddleName: | BELA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2804 N LOOP 289 | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794151410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067447223 | ||||||||
| FaxNumber: | 8067403325 | ||||||||
| Practice Location | |||||||||
| Address1: | 4515 MARSHA SHARP FWY | ||||||||
| Address2: | |||||||||
| City: | LUBBOCK | ||||||||
| State: | TX | ||||||||
| PostalCode: | 794072520 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8067447223 | ||||||||
| FaxNumber: | 8067403325 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/01/2005 | ||||||||
| LastUpdateDate: | 01/27/2012 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207LP2900X | E9343 | TX | N | Allopathic & Osteopathic Physicians | Anesthesiology | Pain Medicine | 208VP0014X | E9343 | TX | Y | Allopathic & Osteopathic Physicians | Pain Medicine | Interventional Pain Medicine |
ID Information
| ID | Type | State | Issuer | Description | 100013830A | 05 | OK | MEDICAID | V3942 | 05 | NM | MEDICAID | 201021596 | 01 | NM | PRESBYTERIAN COMERCIAL | OTHER | A003 | 01 | TRIWEST | OTHER | 89C482 | 01 | TX | BC/BS | OTHER | 121968100 | 01 | TX | FIRSTCARE COMMERCIAL | OTHER | 129835804 | 05 | TX | MEDICAID | 121968101 | 05 | TX | MEDICAID | 129835801 | 05 | TX | MEDICAID | 201021596 | 05 | NM | MEDICAID | 80764Z | 01 | TX | HMO BLUE | OTHER |