Individual ProviderMaireigh McculloughStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice AddressDepartment Of Internal Medicine 3601 4th St, Lubbock, TX 79430-0001(806) 743-3155PECOS EnrollmentBased on the most recent information from CMS, provider Maireigh Mccullough 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 ID1740964303Provider TypeIndividualFull NameMccullough, MaireighTitleDr.CredentialMD, MPHGenderFemaleSole ProprietorNoEnumeration Date6/14/2023Last Updated6/14/2023Contact InformationPractice LocationPractice AddressDepartment Of Internal Medicine 3601 4th St, Lubbock, TX 79430-0001Phone(806) 743-3155FaxUnlisted FaxMailing LocationMailing AddressDepartment Of Internal Medicine 3601 4th St, Lubbock, TX 79430-0001PhoneUnlisted PhoneFaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseBP10083594Texas