Gary Lee Lecroy, TRANSPORTATION

Primary specialty

DriverTaxonomy code 172A00000X

License

10404628 Issued in TX

Practice address

1413 Texas Ave
Lubbock, TX 79401-4035

Phone

(806) 771-5466

Fax

(806) 747-5660

NPI assigned

Mar 7, 2024

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1709769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1316705098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 TEXAS AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014035",
            "telephone_number": "806-771-5466",
            "fax_number": "806-747-5660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 TEXAS AVE",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794014035",
            "telephone_number": "806-771-5466",
            "fax_number": "806-747-5660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LECROY",
        "first_name": "GARY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "TRANSPORTATION",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-07",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Driver",
            "state": "TX",
            "license": "10404628",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kye Burton Lear, MD
• Anastacia Lynn Leatherwood, FNP
• Tate Leatherwood, MD
• Shirley Don Leblanc, WHNP-BC
• Debbie Lynn Leclear, RN
• Cristan Ledbetter, FNP-C
• Amber Dawn Lee, PMHNP
• Angela M Lee, ED. D, LPC
• Austin Lee, AA
• Christina Leigh Lee, MD

• Driver in Lubbock, TX
• Providers in Lubbock, TX by specialty
• Driver in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.