Lake Granbury Hospital-Based Professional Services

NPI #1689443467 in Granbury, Texas

Provider Information

NPI Number: 1689443467
Entity Type: Organization
Organization Name: Lake Granbury Hospital-Based Professional Services
Primary Specialty: Emergency Medicine
Enumeration Date: Dec 21, 2023
Last Updated: Jan 20, 2025

Practice Location

Address: 1310 PALUXY RD
City: Granbury
State: Texas
ZIP Code: 76048-5655
Phone: (817) 573-2273

Authorized Official

Name: WENDI KEETON
Title: SR. DIRECTOR, OPERATIONS
Phone: (877) 892-9815

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X
Anesthesiology - Critical Care Medicine — Critical Care Medicine	207LC0200X
Hospitalist	208M00000X
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Nurse Anesthetist, Certified Registered	367500000X
Emergency Medicine	207P00000X	Primary

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