Active NPI
Lance Eliot Hafter, D.O.
- Emergency Medicine Physician
- San Angelo, TX
National Provider Identifier
1023075009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- H2063
- Practice address
- 120 E Harris Ave
San Angelo, TX 76903-5904 - Phone
- (325) 747-6741
- Fax
- (325) 747-8435
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | H2063 | TX | Primary |
Addresses
Primary practice location
120 E Harris Ave
San Angelo, TX 76903-5904
Mailing address
120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8CS002 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.63 of 100
- Quality
- 78.21
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 67.22
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| H2063 | TX | MD | Emergency Medicine Physician |
| 1921 | OK | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shannon Clinic | Current | Accepting new patients | |
| Shannon Clinic | Current | Accepting new patients | |
| Sterling Emergency Services of Oklahoma, Inc. | Emergency Medicine | Past | Accepting new patients |
| San Angelo Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Locations
120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511
120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741
Interoperability endpoints
- lhafter6659@shannonhealth.direct-ci.com
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- San Angelo, TX
- NPI 1770587149
-
- Pediatrics Physician
- Del Rio, TX
- NPI 1790986719
-
- Emergency Medicine Physician
- San Angelo, TX
- NPI 1134177975
-
- Nurse Practitioner
- Tulsa, OK
- NPI 1366480295
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751241600000",
"number": "1023075009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 E HARRIS AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035904",
"telephone_number": "325-747-6741",
"fax_number": "325-747-8435"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 E HARRIS AVE",
"city": "SAN ANGELO",
"state": "TX",
"postal_code": "769035904",
"telephone_number": "325-747-6741",
"fax_number": "325-747-8435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAFTER",
"first_name": "LANCE",
"middle_name": "ELIOT",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2025-06-30",
"certification_date": "2025-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "H2063",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8CS002",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Angelo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.