Granbury Executive Transport, LLC

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Legal business name

GRANBURY EXECUTIVE TRANSPORT, LLC

Practice address

1410 Fall Creek Hwy # 103
Granbury, TX 76049-7949

Phone

(817) 502-9831

NPI assigned

Mar 9, 2026

Organization subpart

No

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

Authorized official

Name

Adam Clark, CLARK

Title

Chief Operating Officer

Phone

(817) 502-9831

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1773014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786060800000",
    "number": "1629924915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 FALL CREEK HWY # 103",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497949",
            "telephone_number": "817-502-9831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 FALL CREEK HWY # 103",
            "city": "GRANBURY",
            "state": "TX",
            "postal_code": "760497949",
            "telephone_number": "817-502-9831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANBURY EXECUTIVE TRANSPORT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-09",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
        "authorized_official_telephone_number": "817-502-9831",
        "authorized_official_credential": "CLARK"
    },
    "taxonomies": [
        {
            "code": "343800000X",
            "taxonomy_group": "",
            "desc": "Secured Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Globalrehab - Fort Worth, LP
• Ginger Suzanne Goodchild, D.O.
• Laura Nicole Graham, LPC
• Granbury 2300 Opco LLC
• Granbury Chiropractic Wellness Center
• Granbury Eye Care PC
• Granbury Family Med Clinic
• Granbury Hood County Emergency
• Granbury Hospital Corporation
• Granbury Hospital Corporation

• Non-emergency Medical Transport (VAN) in Granbury, TX
• Providers in Granbury, TX by specialty
• Non-emergency Medical Transport (VAN) in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.