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LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES NPI 1689443467


NPI Information

NPI: 1689443467
Provider Name: LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization
Address:
1310 PALUXY RD
GRANBURY, TX
ZIP 76048
Phone: (817) 573-2273
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LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES is an emergency medicine in Granbury, TX. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES NPI is 1689443467. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1310 PALUXY RD
GRANBURY, TX
ZIP 76048-655
Phone: (817) 573-2273

The provider's authorized official is Wendi Keeton .
The authorized official title is Sr. Director, Operations and has the following contact phone number (877) 892-9815.

The enumeration date for this NPI number is 12/21/2023 and was last updated on 1/24/2024.


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
1207L00000XAnesthesiologyNo
2207LC0200XAnesthesiologyCritical Care MedicineNo
3208M00000XHospitalistNo
4363A00000XPhysician AssistantNo
5363L00000XNurse PractitionerNo
6367500000XNurse Anesthetist, Certified RegisteredNo
7207P00000XEmergency MedicineYes

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.