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Deactivated NPI 1801227483 Deactivated / Inactive NPI Male Practitioner

Dr. Glenn Joseph Boris , MD

Pediatrics • Lubbock, TX

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Glenn Boris has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 06, 2013
NPI Deactivation Date November 17, 2022
Total Practice Duration ~9 Years of Practice (2013 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Glenn Boris, MD was a registered Pediatrics practicing in Lubbock, TX. Throughout an active medical career spanning 9 years, Dr. Boris provided care at the practice location at 3204 44TH ST until profile deactivation on 2022-11-17.

Practice Location & Contact Primary Location

Practice Address

3204 44th St

Lubbock, TX 794133506

Telephone 8067909173
Fax 8067933763

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Lubbock, TX

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.0 Yrs
State Avg: 22.0 Yrs
Regional Practice Density
94 Specialists

Practicing in Lubbock, TX (5841 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License TX E4806

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated November 17, 2022

Record deactivated on November 17, 2022

NPI Profile Active December 06, 2013

NPI status registered as active in NPPES database

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Updated Practice Location December 06, 2013

Registered at 3204 44TH ST, LUBBOCK, TX 794133506 (Tel: 8067909173)

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Updated Business Mailing Address December 06, 2013

Registered at 3204 44TH ST, LUBBOCK, TX 794133506 (Tel: 8067909173)

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Provider Name / Credentials Updated December 06, 2013

Recorded as GLENN BORIS, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 06, 2013

Pediatrics (License #E4806 in TX)

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Initial NPI Registration & Enumeration December 06, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1801227483
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 06, 2013
Last Update: December 06, 2013
Deactivation Date: November 17, 2022

Mailing Address

3204 44th St

Lubbock, TX 794133506

Phone: 8067909173

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.