Individual ProviderBen ThiravetyanStudent in an Organized Health Care Education/Training ProgramStudent, Health CarePractice Address3601 Fourth Street, Ttuhsc Department Of Internal Medic, Lubbock, TX 79430(806) 743-6840PECOS EnrollmentBased on the most recent information from CMS, provider Ben Thiravetyan 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 ID1881434926Provider TypeIndividualFull NameThiravetyan, BenTitleMr.CredentialM.D.GenderMaleSole ProprietorNoEnumeration Date5/28/2024Last Updated12/3/2024Contact InformationPractice LocationPractice Address3601 Fourth Street, Ttuhsc Department Of Internal Medic, Lubbock, TX 79430Phone(806) 743-6840FaxUnlisted FaxMailing LocationMailing Address3601 Fourth Street, Ttuhsc Department Of Internal Medic, Lubbock, TX 79430Phone(806) 743-6840FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode390200000XPrimaryDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicenseUnlisted Issuer