Organization Active NPI

Kible Health TX, P.a.

  • Emergency Medicine Physician
  • Lubbock, TX
National Provider Identifier
1104611565
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
KIBLE HEALTH TX, P.A.
Practice address
7 Briercroft Office Park FL 2
Lubbock, TX 79412-3023
Phone
(646) 396-0527
NPI assigned
Apr 14, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2026

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

Authorized official

Name
Samantha Wu
Title
Cao
Phone
(646) 673-2983

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary
Geriatric Medicine (Family Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207QG0300X

Addresses

Primary practice location

7 Briercroft Office Park FL 2
Lubbock, TX 79412-3023

Mailing address

390 NE 191St St Ste 8885
Miami, FL 33179-3899
Phone (646) 904-4027

Other practice location 1

390 NE 191st St Ste 8885
Miami, FL 33179-3899
Phone (646) 396-0527

Other names 1

  • Understood Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250814002359 TX Part B Supplier - Clinic/Group Practice 5698274074 Receives reassigned benefits from 6 practitioners
Practice locations: Lubbock, TX; Magnolia, TX

National Provider Directory

National Provider Directory

Locations

390 NE 191st St
Ste 8885
Miami, FL 33179
Phone (646) 296-0527

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773705600000",
    "number": "1104611565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "390 NE 191ST ST STE 8885",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331793899",
            "telephone_number": "646-904-4027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 BRIERCROFT OFFICE PARK FL 2",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794123023",
            "telephone_number": "646-396-0527"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "390 NE 191st St Ste 8885",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331793899",
            "country_code": "US",
            "telephone_number": "646-396-0527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIBLE HEALTH TX, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-14",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "CAO",
        "authorized_official_telephone_number": "646-673-2983"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Understood Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lubbock, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.