Individual ProviderLee Travis FerrisStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 4th Street Psychiatry, Stop 8103, Lubbock, TX 79430-0001(806) 743-2800PECOS EnrollmentBased on the most recent information from CMS, provider Lee Travis Ferris does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1588919674Provider TypeIndividualFull NameFerris, Lee TravisCredentialMDGenderMaleSole ProprietorNoEnumeration Date7/16/2012Last Updated7/16/2012Contact InformationPractice LocationPractice Address3601 4th Street Psychiatry, Stop 8103, Lubbock, TX 79430-0001Phone(806) 743-2800Fax(806) 743-4250Mailing LocationMailing Address3601 4th Street Psychiatry, Stop 8103, Lubbock, TX 79430-0001Phone(806) 743-2800Fax(806) 743-4250Provider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer