Individual ProviderNishi GargStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address4 Th St, 3601, Lubbock, TX 79430-0001(806) 743-6840PECOS EnrollmentBased on the most recent information from CMS, provider Nishi Garg is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1639525314Provider TypeIndividualFull NameGarg, NishiGenderFemaleSole ProprietorNoEnumeration Date5/11/2016Last Updated9/22/2020Contact InformationPractice LocationPractice Address4 Th St, 3601, Lubbock, TX 79430-0001Phone(806) 743-6840FaxUnlisted FaxMailing LocationMailing Address3601 4th St, Lubbock, TX 79430-0002Phone(806) 743-6840FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted IssuerCode207R00000XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicenseS4952TexasCode208M00000XDescriptionHospitalistAllopathic & Osteopathic PhysiciansLicenseS4952Texas