Organization
LAKE GRANBURY HOSPITAL-BASED PROFESSIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDI KEETON (SR. DIRECTOR, OPERATIONS)
(877) 892-9815
Entity
Organization
Contact information
Practice address
1310 PALUXY RD, GRANBURY, TX 76048-5655
(817) 573-2273
Mailing address
PO BOX 680060, FRANKLIN, TN 37068-0060
(877) 848-1457
(659) 235-6176
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
—
—
207P00000X
Emergency Medicine Physician
Primary
—
—
208M00000X
Hospitalist Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/21/2023
Last updated
01/20/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us