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Heba S. M. Alghoul

Student in an Organized Health Care Education/Training Program

Student, Health Care

Ttuhsc Department Of Family Medicine Clinic, 3601 4th Street Mail Stop 9901, Lubbock, TX 79430

PECOS Enrollment

This provider is enrolled in PECOS as HEBA ALGHOUL.

Based on the most recent information from CMS, provider Heba S. M. Alghoul is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 4 days ago.

Profile Details

Provider ID
1740971167
Provider Type
Individual
Full Name
Alghoul, Heba S. M.
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
5/17/2023
Last Updated
5/17/2023

Contact Information

Practice Location

Ttuhsc Department Of Family Medicine Clinic, 3601 4th Street Mail Stop 9901, Lubbock, TX 79430

(617) 373-0172

Unlisted Fax

Mailing Location

Ttuhsc Department Of Family Medicine Clinic, 3601 4th Street Mail Stop 9901, Lubbock, TX 79430

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 390200000X Primary	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Heba S. M. Alghoul

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

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Description

License

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