Cody Ray Mandrell, APRN

Nurse Practitioner · Lubbock, TX

Individual Active NPI

NPI number 1912209073

Practice location

3502 9TH St Ste 430
Lubbock, TX 79415-3368
Phone
(806) 761-0535
Fax
(806) 761-0534

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NPI record

NPI
1912209073
Entity type
Individual (Type 1)
Enumeration date
November 23, 2010
Last updated
September 3, 2026
Certified
September 3, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X AP119696 TX

Mailing address

5219 City Bank Pkwy Ste 160
Lubbock, TX 79407-3544
Phone
(806) 761-0333
Fax
(806) 785-7685

Other practice locations (1)

  • 602 Indiana Ave, Lubbock, TX 79415-3364 · (806) 761-0333

About Cody Mandrell

Cody Ray Mandrell, APRN is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 3502 9TH St Ste 430, Lubbock, TX 79415-3368. The NPI number 1912209073 was assigned on November 23, 2010 and the record was last updated on September 3, 2026.

Cody Mandrell lists a license in the registry: #AP119696 (TX) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Cody Ray Mandrell, APRN?

The NPI number is 1912209073.

What is the phone number of Cody Mandrell?

The phone number listed for the practice location is (806) 761-0535.

Where is Cody Mandrell located?

3502 9TH St Ste 430, Lubbock, TX 79415-3368.

What is the taxonomy code for Cody Mandrell?

The primary taxonomy code is 363L00000X – Nurse Practitioner.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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