Granbury Family Med Clinic

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

GRANBURY FAMILY MED CLINIC

Practice address

1200 Crawford Ave Ste a
Granbury, TX 76048-4560

Phone

(817) 573-3447

Fax

(817) 573-3616

NPI assigned

Oct 17, 2007

Organization subpart

No

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

Authorized official

Name

Robert Louis LeeNPI 1366537482

Title

Physician/Owner

Phone

(817) 573-3447

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 4

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

• Robert Louis Lee, MD

  • Family Medicine Physician
  • Granbury, TX
  • NPI 1366537482
  Medicare reassignment NPD Authorized official
• Jillian Kelcie Moody, NP-C

  • Family Nurse Practitioner
  • Granbury, TX
  • NPI 1790322279
  NPD
• Cortney Smith Brown, APRN-CNP

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1720762461
  NPD (past)
• Haley Martin

  • Family Nurse Practitioner
  • Fort Worth, TX
  • NPI 1568929552

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780444800000",
    "number": "1396934147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CRAWFORD AVE STE A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484560",
            "telephone_number": "817-573-3447",
            "fax_number": "817-573-3616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 CRAWFORD AVE STE A",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760484560",
            "telephone_number": "817-573-3447",
            "fax_number": "817-573-3616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANBURY FAMILY MED CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "LOUIS",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "817-573-3447"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145044701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura Nicole Graham, LPC
• Granbury 2300 Opco LLC
• Granbury Chiropractic Wellness Center
• Granbury Executive Transport, LLC
• Granbury Eye Care PC
• Granbury Hood County Emergency
• Granbury Hospital Corporation
• Granbury Hospital Corporation
• Granbury II Enterprises, LLC
• Granbury Internal Medicine Associates, PC

• Primary Care Clinic/Center in Granbury, TX
• Providers in Granbury, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.