Individual provider Active NPI

George Mburu

  • Psychiatric/Mental Health Nurse Practitioner
  • Lufkin, TX
National Provider Identifier
1811549421
Registry record updated Mar 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
AP142454 Issued in TX
Practice address
2001 S Medford Dr
Lufkin, TX 75901-6260
Phone
(936) 633-5632
NPI assigned
Jul 13, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Registered Nurse 163WP0808X 841742 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X AP142454 TX Primary

Addresses

Primary practice location

2001 S Medford Dr
Lufkin, TX 75901-6260

Mailing address

308 Springtree St
Denton, TX 76209-6532
Phone (845) 702-6538

Other practice location 1

3330 S Lancaster Rd
Dallas, TX 75216-4531
Phone (940) 323-3623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200207001486 TX Practitioner - Nurse Practitioner 7214363357 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Texas Panhandle Mental Health Mental RetardationGroup PAC ID 0446200067, 8 clinicians

Practice addresses (Care Compare)

6600 Killgore Dr
Amarillo, TX 79106-3700
Phone (806) 358-1681

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
841742TXMDPsychiatric/Mental Health Registered Nurse
AP142454TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Panhandle Mental Health Mental Retardation CurrentSince Aug 30, 2021 Accepting new patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Oct 26, 2019 Accepting new patients

Locations

6600 Killgore Dr
Amarillo, TX 79106
Phone (806) 337-1000

3330 S Lancaster Rd
Dallas, TX 75216
Phone (214) 371-0474

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (214) 743-1201

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1562976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678665600000",
    "number": "1811549421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 SPRINGTREE ST",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762096532",
            "telephone_number": "845-702-6538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S MEDFORD DR",
            "city": "LUFKIN",
            "state": "TX",
            "postal_code": "759016260",
            "telephone_number": "936-633-5632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3330 S Lancaster Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752164531",
            "country_code": "US",
            "telephone_number": "940-323-3623",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MBURU",
        "first_name": "GEORGE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-07-13",
        "last_updated": "2023-03-13",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "TX",
            "license": "841742",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "AP142454",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lufkin, TX

Sources for this page

Verify at the official NPI Registry.