Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mr. Shaun Mantooth, PA

Individual provider Physician Assistant · NPI 1326419748

Mr. Shaun Mantooth, PA is a Physician Assistant in Lubbock, Texas. Qualified in 2015, 11 years ago. Practices with Lubbock County Hospital District, a 65-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
11
Licensed in
TX
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6002 Slide Rd Ste D24
Lubbock, TX 79414-4310
Phone: (806) 761-0450
Fax: (806) 796-7259
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 602 Indiana Ave, Lubbock, TX 79415-3364 — (806) 775-8200

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA10211 (TX)

Record details

NPI number1326419748
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2015
Last updated in NPPESOctober 2, 2025
Certification dateOctober 2, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Lubbock County Hospital District — 65 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lubbock