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Lake Granbury Hb Medical Services LLC

Emergency Medicine in Granbury, TX. Organization (NPI-2).

NPI number1043992001
StatusActive
Last updated in NPPESNov 13, 2023

Details

NPI
1043992001
Entity type
Organization (NPI-2)
Legal business name
Lake Granbury Hb Medical Services LLC
Organization subpart
No
Enumeration date
Aug 1, 2023
Certification date
Nov 13, 2023
Last updated
Nov 13, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207P00000X Emergency Medicine––Yes
208M00000X Hospitalist––
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Practice location

1310 Paluxy Rd
Granbury, TX 76048-5655

Phone 817-573-2273

Mailing address

Po Box 680060
Franklin, TN 37068-0060

Phone 615-628-6504 · Fax 659-235-6176

Authorized official

Wendi Keeton
Sr. Director, Hospital Based Ops
6156286507

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