NPI age
5 years
Enumerated 2020-07-20
● Active Type 2 · Organization
Subpart
Covenant Medical Center
Covenant Medical Center is 1 of 14 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Boedefeld
Mgr-Regulatory & Enrollment Gov Prg
Last NPPES update
2020-07-20
Source: monthly bulk 2026-05
How this organization compares
Across 14 active clinic/center providers in Texas.
NPI age
5 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2020 → 2026
2020-07Enumerated in NPPES
2020
2026
Where they practice
Primary practice location
3615 19th, Lifestyle Centre-East Parking Garage
Lubbock, TX 79410
Mailing address
Po Box 677044
Dallas, TX 752677044
Authorized official
Dawn Boedefeld
Mgr-Regulatory & Enrollment Gov Prg
📞 9072126354
Specialties
-
Clinic/Center PrimaryDefinition to come...
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
COVENANT MEDICAL CENTER - LIFESTYLE CENTRE IRC
Practice context
Single-site organization. Only one practice location on file.
Subpart of Covenant Medical Center.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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