NPI age
10 years
Enumerated 2015-10-12
● Active
Type 1 · Individual
MR. Shaun Mantooth, PA
Mantooth is 1 of 114 physician assistant providers in Lubbock and 1 of 11022 in Texas.
Primary specialty
Physician Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2025-10-02
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 11022 active physician assistant providers in Texas.
NPI age
10 years
≈ at median (10 yr)
State licenses
1 state
7% of peers hold multiple states
Subspecialties
0
23% of peers hold subspecialties
NPI lifetime · 2015 → 2026
2015-10Enumerated in NPPES
2015
2026
Where they practice
Practice location
6002 Slide Rd Ste D24
Lubbock, TX 794144310
Mailing address
5219 City Bank Pkwy Ste 35
Lubbock, TX 794073537
Additional practice locations
1 secondary location on file with NPPES.
Location 2
602 Indiana Ave
Lubbock, TX 794153364
Specialties
-
Physician Assistant PrimaryA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 642529 | TEMPORARY LIC NUMBER |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new physician assistant provider has been added in Lubbock in the last 180 days.
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Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.