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

Tom Breazeal

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1710788021

Tom Breazeal is an Anesthesiology Assistant in Lubbock, Texas. Qualified in 2025, 1 year ago. Practices with Texas Tech University Health Sciences Center Lubbock, a 368-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
1
Licensed in
TX
In the registry since
2025
Specialties on file
2
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Practice location Address checks out

3601 4th St # MS 8182
Lubbock, TX 79430-0002
Phone: (806) 743-9945
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence 789790577 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (TX)

Record details

NPI number1710788021
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2025
Last updated in NPPESMay 20, 2025
Certification dateMay 20, 2025
Mailing address10714 Ashlesha Ln, Richmond, TX 77406-2965

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY ASSISTANT
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Texas Tech University Health Sciences Center Lubbock — 368 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Lubbock