Luke Anderson, M.D.
Individual provider Active NPI Family Medicine Physician · Granbury, TX
NPI 1083972939 · NPPES record last updated Mar 24, 2018
Key facts
- NPI
- 1083972939
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- Q3477 (TX)
- Practice address
- 601 Fall Creek Hwy
Granbury, TX 76049-7960 - Phone
- (817) 326-3902
- NPI assigned
- Apr 29, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150521000189 | TX | Practitioner - Family Practice |
8527388255 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, Inc. | Emergency Medicine | Current |
Accepting new patients |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Concord Medical Group of Texas PLLC | Emergency Medicine | Current |
Accepting new patients |
| Concord Medical Group PLLC | Emergency Medicine | Current |
Accepting new patients |
| Palo Pinto County Hospital District | Family Medicine | Current |
Accepting new patients |
| Palo Pinto County Hospital District | Current | Accepting new patients | |
| Palo Pinto County Hospital District | Family Medicine | Current |
Accepting new patients |
Locations
200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241
1416 George Dieter Dr
El Paso, TX 79936
Phone (877) 822-6281
310 W South St
Henrietta, TX 76365
Phone (806) 647-2191
400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891
305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q3477 | TX | |
| Family Medicine Physician | 207Q00000X | Q3477 | TX | Yes |
Addresses
Primary practice location
601 Fall Creek Hwy
Granbury, TX 76049-7960
Mailing address
601 Fall Creek Hwy
Granbury, TX 76049-7960
Other providers in Granbury, TX
- Alltech O & P Services, LLC
- Nikhila Alsakani
- Natalie Marie Alvarez
- Amy J Aston LCSW PC
- David Dwain Anderson
- Apptexased PLLC
- Apptexashm PLLC
- Amy Jo Aramburu
- Arbor Medical Equipment, Inc
- Archstone Dental-Granbury PLLC
All providers in Granbury, TX · Family Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 24, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.