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LUCKEY FARMS LLC NPI 1457116105


NPI Information

NPI: 1457116105
Provider Name: LUCKEY FARMS LLC
Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
10252 W ADAMS AVE STE 104A
TEMPLE, TX
ZIP 76502
Phone: (254) 780-6344
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LUCKEY FARMS LLC is a clinic center in Temple, TX. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). LUCKEY FARMS LLC NPI is 1457116105. The provider is registered as an organization entity type.

The provider's business location address is:

10252 W ADAMS AVE STE 104A
TEMPLE, TX
ZIP 76502-849
Phone: (254) 780-6344

The provider's authorized official is Kacie Dawn .
The authorized official title is Co-owner and has the following contact phone number (254) 541-0656.

The enumeration date for this NPI number is 2/20/2024 and was last updated on 2/20/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.