Organization
GRANBURY HOSPITAL CORPORATION
Active
Other names
Lake Granbury Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA LALOR (DIRECTOR/DELEGATED OFFICIAL)
(629) 215-3953
Entity
Organization
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-2273
Mailing address
PO BOX 844842, DALLAS, TX 75284-4842
(817) 573-2273
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
000424
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0011844
HARRIS METH
—
01
—
002308
HARRIS METH STAR
—
01
—
094178302
AMERIGROUP
—
01
—
56125
PARKLAND COMM
—
01
—
5868806
AETNA
—
01
—
678291
PALMETTO
—
05
—
H04505964
—
TX
01
—
HASC05969
METROWEST
—
01
—
HH1971
BCBS
—
01
—
K06782916
NHIC MA
—
Enumeration date
01/30/2006
Last updated
09/04/2025
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