Provider Demographics
NPI:1396263802
Name:DIRECT SENIOR CARE PLLC
Entity type:Organization
Organization Name:DIRECT SENIOR CARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SHANNON
Authorized Official - Middle Name:MURPHY
Authorized Official - Last Name:TAPIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:806-570-8550
Mailing Address - Street 1:4512 11TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79416-4816
Mailing Address - Country:US
Mailing Address - Phone:806-570-8550
Mailing Address - Fax:855-290-6757
Practice Address - Street 1:4512 11TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79416-4816
Practice Address - Country:US
Practice Address - Phone:806-570-8550
Practice Address - Fax:855-290-6757
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-05
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
185160406OtherPERSONAL NPI FOR DR. TAPIA OWNER AND SOLE PROVIDER IN PRACTICE
TXQ5579OtherMEDICAL LICENSE