LUMIN ER GRANBURY (NPI# 1962864603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962864603 |
| Entity Type | Organization |
| Organization Name | LUMIN ER GRANBURY |
| Practice Address |
3801 E Us Highway 377 Ste 100 Granbury TX 76049-7429 |
| Practice Telephone | 9139724976 |
| Mailing Telephone | 9139724976 |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |
| Authorized Official Name | MR. JEFF VANHORN (CEO) |
| Authorized Official Telephone | 9139724976 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0002X |
Clinic/Center Specialization: Emergency Care |
Ambulatory Health Care Facilities |
| Street Address |
3801 E US HIGHWAY 377 STE 100 |
| City | GRANBURY |
| State | TX |
| Zip Code | 76049-7429 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881114387 | Thp Granbury Mc, LLC | Clinic/Center | 3801 E Us Highway 377, Granbury, TX 76049-7619 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033743802 | Debra Lynn Shearon | Nurse Practitioner | 3605 Pecan Arbor Ct, Granbury, TX 76049 | 2020-03-02 |
| 1841783255 | Adrienne Rhodes Montgomery | Dentist | 2600 James Rd Ste 100, Granbury, TX 76049 | 2018-06-11 |
| 1760920656 | Natalie Marie Alvarez | Occupational Therapist | 802 Rambling Ct, Granbury, TX 76049 | 2017-02-10 |
| 1982048948 | Luke A Chambless | Radiology | 5820 Long Drive, Granbury, TX 76049 | 2013-04-22 |
| 1053682732 | Mollie M Van Deusen | Counselor | 4425 E Hyw 377, Suite 116, Granbury, TX 76049 | 2012-01-26 |
| 1730469545 | Modern Dental Professionals Dallas/ft. Worth PC | Dentist | 3902 E. Us Highway 377, #100, Granbury, TX 76049 | 2011-08-24 |
| 1417242926 | H-e-b, Lp | Clinical Medical Laboratory | 3804 East Us Highway 377, Granbury, TX 76049 | 2011-06-13 |
| 1760502199 | Rebecca S. Shank Md Pa | Psychiatry & Neurology | 2003 Rockview Dr., Granbury, TX 76049 | 2007-03-30 |
| 1093843179 | Jason A Berry Dds Pa | Dentist | 2600 James Road, Ste #100, Granbury, TX 76049 | 2007-03-01 |
| 1265576516 | Darren Keith George | Family Medicine | 2003 Rockview Drive, Granbury, TX 76049 | 2007-02-19 |
| Find all providers in zip 76049 | ||||
| Taxonomy Code | 261QE0002X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Emergency Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881114387 | Thp Granbury Mc, LLC | Clinic/Center | 3801 E Us Highway 377, Granbury, TX 76049-7619 | 2017-06-26 |
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| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.