Active NPI
Lguc PLLC
- Urgent Care Clinic/Center
- La Grange, TX
National Provider Identifier
1124688023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- Legal business name
- LGUC PLLC
- Practice address
- 1253 N Von Minden St
La Grange, TX 78945-1262 - Phone
- (979) 968-8493
- Fax
- (979) 968-6388
- NPI assigned
- Jun 13, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alyson Beisert
- Title
- Credentialing Administrator
- Phone
- (979) 968-8493
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Primary Care Clinic/Center | 261QP2300X | |||
| Urgent Care Clinic/Center | 261QU0200X | Primary |
Addresses
Primary practice location
1253 N Von Minden St
La Grange, TX 78945-1262
Mailing address
1253 N Von Minden St
La Grange, TX 78945-1262
Phone (979) 968-8493
National Provider Directory
National Provider DirectoryLocations
1253 N Von Minden St
La Grange, TX 78945
Phone (979) 968-8493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560384000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1560729600000",
"number": "1124688023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1253 N VON MINDEN ST",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789451262",
"telephone_number": "979-968-8493",
"fax_number": "979-968-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1253 N VON MINDEN ST",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789451262",
"telephone_number": "979-968-8493",
"fax_number": "979-968-6388"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LGUC PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-13",
"last_updated": "2019-06-17",
"status": "A",
"authorized_official_last_name": "BEISERT",
"authorized_official_first_name": "ALYSON",
"authorized_official_title_or_position": "CREDENTIALING ADMINISTRATOR",
"authorized_official_telephone_number": "979-968-8493"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Grange, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.