Musgrave Specialized Care, PLLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

MUSGRAVE SPECIALIZED CARE, PLLC

Practice address

3061 W Southlake Blvd Ste 130
Southlake, TX 76092-0314

Phone

(214) 668-0414

NPI assigned

Oct 26, 2022

Organization subpart

No

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

Authorized official

Name

Dana Gassaway

Title

Administrator

Phone

(214) 668-0414

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 5

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

• William L. Musgrave, D.O.

  • Family Medicine Physician
  • Keller, TX
  • NPI 1770898306
  Medicare reassignment NPD
• Ashley D Hartzog, PA

  • Physician Assistant
  • Southlake, TX
  • NPI 1184643868
  Medicare reassignment
• Jerry Lee Lugger, M.D.

  • Plastic Surgery Physician
  • Euless, TX
  • NPI 1700814647
  NPD
• Amanda Nicole Beevers, MSN, RN, FNP-C, CEN

  • Family Nurse Practitioner
  • Keller, TX
  • NPI 1487026712
  NPD (past)
• Russell D Daily, PA

  • Physician Assistant
  • Keller, TX
  • NPI 1881748432
  NPD (past)

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687392000000",
    "number": "1750008181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 E SOUTHLAKE BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3061 W SOUTHLAKE BLVD STE 130",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920314",
            "telephone_number": "214-668-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSGRAVE SPECIALIZED CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A",
        "authorized_official_last_name": "GASSAWAY",
        "authorized_official_first_name": "DANA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "214-668-0414"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia C Murphy Rae, LCSW
• Vanessa G Murphy, NP
• Bailey Murray, CF-SLP
• Hannah Christine Murray, M.S., BCBA, LBA
• Jennifer Lynn Murray, P.T.
• Mustafa Mustafa, DPM
• MW Wellness V, LLC
• Mylab Diagnostics, LLC
• Kristina Myles, DC
• Myos Labs, LLC

• Family Medicine Physician in Southlake, TX
• Providers in Southlake, 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 Jun 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.