Active NPI
Serl Indiana Acquisition Partners LLC
- Emergency Care Clinic/Center
- Lubbock, TX
National Provider Identifier
1417760489
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Care Clinic/Center
- Legal business name
- SERL INDIANA ACQUISITION PARTNERS LLC
- Practice address
- 7007 Indiana Ave
Lubbock, TX 79413-6113 - Phone
- (806) 701-4141
- NPI assigned
- Jan 31, 2025
- 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
- Julie Radley
- Title
- Coo
- Phone
- (713) 591-2256
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Care Clinic/Center | 261QE0002X | Primary |
Addresses
Primary practice location
7007 Indiana Ave
Lubbock, TX 79413-6113
Mailing address
PO Box 92535
Southlake, TX 76092-0535
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1738281600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1417760489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92535",
"city": "SOUTHLAKE",
"state": "TX",
"postal_code": "760920535"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7007 INDIANA AVE",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794136113",
"telephone_number": "806-701-4141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SERL INDIANA ACQUISITION PARTNERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-31",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "RADLEY",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "COO",
"authorized_official_telephone_number": "713-591-2256"
},
"taxonomies": [
{
"code": "261QE0002X",
"taxonomy_group": "",
"desc": "Clinic/Center, Emergency Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.