Organization Active NPI

Musgrave Family Medicine

  • Family Medicine Physician
  • Keller, TX
National Provider Identifier
1831742550
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
MUSGRAVE FAMILY MEDICINE
Practice address
1750 Keller Parkway
Keller, TX 76248
Phone
(682) 808-7690
NPI assigned
Jul 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Authorized official

Name
Dr. William Larkin Musgrave, DONPI 1770898306
Title
Owner
Phone
(817) 310-9510

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

1750 Keller Parkway
Keller, TX 76248

Mailing address

1750 Keller Pkwy
Keller, TX 76248-3704
Phone (817) 310-9510

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191217001652 TX Part B Supplier - Clinic/Group Practice 4880028364 Receives reassigned benefits from 3 practitioners
Practice locations: Keller, TX

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2173800Musgrave Family Medicine1750 Keller Parkway, Keller, TX 76248Certificate of waiverOct 17, 2027

National Provider Directory

National Provider Directory

Locations

1750 Keller Pkwy
Keller, TX 76248
Phone (817) 310-9510

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1563753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742256000000",
    "number": "1831742550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 KELLER PKWY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762483704",
            "telephone_number": "817-310-9510",
            "fax_number": "817-310-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 KELLER PARKWAY",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76248",
            "telephone_number": "682-808-7690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSGRAVE FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-22",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A",
        "authorized_official_last_name": "MUSGRAVE",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "LARKIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-310-9510",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Keller, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; 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.