Lake Granbury Hospital-Based Professional Services
NPI 1689443467 · Emergency Medicine Physician · Granbury, TX
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Lake Granbury Hospital-Based Professional Services is a Emergency Medicine Physician organization in Granbury, TX (NPI 1689443467).
Provider details
- NPI number
- 1689443467
- Entity type
- Organization
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Wendi Keeton, Sr. Director, Operations(877) 892-9815
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Anesthesiology Physician207L00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Hospitalist Physician208M00000X
Allopathic & Osteopathic Physicians
- Physician Assistant363A00000X
Physician Assistants & Advanced Practice Nursing Providers
- Nurse Practitioner363L00000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 3201 W State Highway 22Corsicana, TX 75110-2450Phone: (877) 848-1457Fax: (659) 235-6176
- 5309 E US Highway 377Granbury, TX 76049-1275Phone: (877) 848-1457Fax: (659) 235-6176
Registry dates
- Enumerated
- 2023-12-21
- Last updated
- 2025-01-20
- Certified
- 2025-01-20
Frequently asked questions
- What is Lake Granbury Hospital-Based Professional Services's NPI number?
- Lake Granbury Hospital-Based Professional Services's National Provider Identifier (NPI) is 1689443467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Granbury Hospital-Based Professional Services?
- Lake Granbury Hospital-Based Professional Services is classified in the NPPES registry as Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Lake Granbury Hospital-Based Professional Services located?
- Lake Granbury Hospital-Based Professional Services's practice location on file with NPPES is 1310 Paluxy Rd, Granbury, TX 76048-5655.
- What is Lake Granbury Hospital-Based Professional Services's phone number?
- The practice phone number listed in the NPPES registry for Lake Granbury Hospital-Based Professional Services is (817) 573-2273.
- Does Lake Granbury Hospital-Based Professional Services accept Medicare?
- Lake Granbury Hospital-Based Professional Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Lake Granbury Hospital-Based Professional Services?
- The authorized official listed on Lake Granbury Hospital-Based Professional Services's NPPES record is Wendi Keeton, Sr. Director, Operations. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Granbury Hospital-Based Professional Services's NPI active?
- Yes — Lake Granbury Hospital-Based Professional Services's NPI (1689443467) is active in the NPPES registry as of the last update on 2025-01-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.