Provider Demographics
NPI:1427152602
Name:EPSTEIN, ANNE CAROL (MD)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:CAROL
Last Name:EPSTEIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3411 20TH ST
Mailing Address - Street 2:
Mailing Address - City:LUBBOCK
Mailing Address - State:TX
Mailing Address - Zip Code:79410
Mailing Address - Country:US
Mailing Address - Phone:806-793-1939
Mailing Address - Fax:806-793-1952
Practice Address - Street 1:3411 20TH ST
Practice Address - Street 2:
Practice Address - City:LUBBOCK
Practice Address - State:TX
Practice Address - Zip Code:79410
Practice Address - Country:US
Practice Address - Phone:806-793-1939
Practice Address - Fax:806-793-1952
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2010-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF9400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
110133090OtherPALMETTO GBA RAILROAD MED
TX120517101Medicaid
TX00N54YOtherBCBS
00N54YMedicare ID - Type Unspecified
TX00N54YOtherBCBS