Medical Home Partners, PA

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

J7770 Issued in TX

Legal business name

MEDICAL HOME PARTNERS, PA

Doing business as

La Vernia Lighthouse Healtcare

Practice address

14114 US Highway 87 W
La Vernia, TX 78121-5881

Phone

(830) 253-8116

NPI assigned

Mar 6, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Susan A Crockett, M.D.

Title

President Ceo

Phone

(830) 253-8116

Specialties & licenses 2

Addresses

Other names 1

• La Vernia Lighthouse Healtcare Doing business as

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1437289956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781210190",
            "telephone_number": "830-253-8116",
            "fax_number": "830-253-8313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14114 US HIGHWAY 87 W",
            "city": "LA VERNIA",
            "state": "TX",
            "postal_code": "781215881",
            "telephone_number": "830-253-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL HOME PARTNERS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "CROCKETT",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "830-253-8116",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J7770",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "J7770",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "La Vernia Lighthouse Healtcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• LV Kids Therapy Services
• Pamela Todd Malone
• Denise Briggs McCarson
• Brook Bishop McDaniel, DPT, PT
• Rebekah McEnery
• Milk & Honey Pediatric Speech Therapy PLLC
• Laura Morales
• Ariel S Newman, LPC-ASSOCIATE
• Leah Dawn Nickell, A.T.C., L.A.T.
• Elyssa C Nunez

• Family Medicine Physician in La Vernia, TX
• Providers in La Vernia, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2007; 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.