Lake Granbury HB Medical Services LLC

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

Legal business name

LAKE GRANBURY HB MEDICAL SERVICES LLC

Practice address

1310 Paluxy Rd
Granbury, TX 76048-5655

Phone

(817) 573-2273

NPI assigned

Aug 1, 2023

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Wendi Keeton

Title

Sr. Director, Hospital Based Ops

Phone

(615) 628-6507

Specialties & licenses 4

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1690848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1043992001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 680060",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370680060",
            "telephone_number": "615-628-6504",
            "fax_number": "659-235-6176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 PALUXY RD",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760485655",
            "telephone_number": "817-573-2273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE GRANBURY HB MEDICAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-01",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A",
        "authorized_official_last_name": "KEETON",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "SR. DIRECTOR, HOSPITAL BASED OPS",
        "authorized_official_telephone_number": "615-628-6507"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle W Rogers DDS Inc
• Laboratory Corporation of America
• Lake Granbury Chiropractic Center
• Lake Granbury Chiropractic Ctr.
• Lake Granbury Dental & Orthodontics PLLC
• Lake Granbury Hospital-Based Professional Services
• Lake Granbury Internal Medicine & Pediatrics, PA
• Lake Pointe Resource Center, Inc.
• Lakeshore ENT
• Lakeside Family Care Clinic

• Emergency Medicine Physician in Granbury, TX
• Providers in Granbury, TX by specialty
• Emergency Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.