Lake Texoma Health Clinic, PLLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

583252 Issued in TX

Legal business name

LAKE TEXOMA HEALTH CLINIC, PLLC

Practice address

81750 N State Hwy 289
Suite 101
Pottsboro, TX 75076

Phone

(903) 357-5014

Fax

(866) 823-8694

NPI assigned

Sep 23, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Deborah Lynn Burchfield, FNP-C

Title

Owner

Phone

(903) 357-5014

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421107200000",
    "number": "1871929737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "81750 N STATE HWY 289",
            "address_2": "SUITE 101",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "75076",
            "telephone_number": "903-357-5014",
            "fax_number": "866-823-8694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81750 N STATE HWY 289",
            "address_2": "SUITE 101",
            "city": "POTTSBORO",
            "state": "TX",
            "postal_code": "75076",
            "telephone_number": "903-357-5014",
            "fax_number": "866-823-8694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE TEXOMA HEALTH CLINIC, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-23",
        "last_updated": "2015-01-13",
        "status": "A",
        "authorized_official_last_name": "BURCHFIELD",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "903-357-5014",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "TX",
            "license": "583252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Donna Lynn Higginbotham-Buttrill
• J & T Park Enterprises, LTD.
• Michael Arthur Kennedy, PA-C
• Julie Kincaid, FNP-C
• Lake Texoma Chiropractic
• James Boothby Leblanc, M.ED., LPC
• April Littlefield
• Suzanne Eileen Lohman, MSW
• Amanda Rian McDaniels
• Sarah Beth Morris, RN, CWD

• Primary Care Clinic/Center in Pottsboro, TX
• Providers in Pottsboro, TX by specialty
• Primary Care Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.