Online Credit Card Payment for Texas Tech Physicians of Permian Basin

* Required fields.

* Patient Name:  
* Patient Account Number:   Your account number is listed on the far right hand side of your statement, below the patient’s name in the remittance advice slip.

Patient Billing Address:

* Street:    
* City:  
* State:  
* Zip:  
* Patient Phone Number:  
Patient Email:  

Should you need to make payment arrangements and/or have any questions or comments regarding your statement or balance owed, please call 432.335.5111 or 432.620.5800.

 
* Payment Amount:     
 

Please choose which department you are paying. If you have balances with multiple departments, please indicate the amount you want posted to each department. If you do not have a preference, we will post your payment to the earliest date of service that has an outstanding balance.

 
 
Department:   Payment:   
Invoice:  
Department:   Payment:   
Invoice:  
Department:   Payment:   
Invoice:  
 

 
For Business Office use only:   Email:  
 

  

Tiene preguntas?
Llame al servicios del paciente al 335-2222.