NPI age
20 years
Enumerated 2006-01-09
● Active Type 2 · Organization
Subpart
47th Medgrp-Laughlin
47th Medgrp-Laughlin is 1 of 62 clinic/center organizations in Texas.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Lewandowski
Dha Ubo
Last NPPES update
2025-06-17
Source: monthly bulk 2026-05
How this organization compares
Across 62 active clinic/center providers in Texas.
NPI age
20 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
2
In the 12% of peers with subspecialties
NPI lifetime · 2006 → 2026
2006-01Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
590 Mitchell Blvd
Laughlin Afb, TX 788435242
Mailing address
590 Mitchell Blvd, 47 Mdss Sgsrr
Laughlin Afb, TX 788435242
Authorized official
Jen Lewandowski
Dha Ubo
📞 7038174030
Individual providers at this organization
7 individual providers on file at this primary practice address.
- Micheal Beto, D.D.S. Dentist NPI 1437167244
- Hannah Carson, MD Family Medicine NPI 1114506912
- Luke Czer, D.D.S. Dentist NPI 1205236544
- Jennifer Hofmann, RD Dietitian, Registered NPI 1730484809
- Alecia Lapp, PSY.D. Psychologist NPI 1497489967
- Robert Pohler, RPH Pharmacist NPI 1992727077
- Melinda Sams, PHARMD Pharmacist NPI 1265404552
Specialties
-
Clinic/Center PrimaryThe Defense Health Program or U.S. Coast Guard funded "fixed" facilities or distinct parts of a facility, providing outpatient medical and dental services, primarily for Uniformed Services beneficiaries. A "fixed" facility is a...
-
Clinic/CenterThat part of a "fixed" (non-temporary, non-deployed) DoD or Coast Guard entity furnishing surgical procedures requiring medically supervised recovery. Similar to a civilian ambulatory surgical center. May be in shared resources with a...
-
Military/U.S. Coast Guard PharmacyA Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 4510536 | NCPDP |
| 01 (TX) | 4510536 | PHARMACY NABP |
Practice context
Multi-provider organization. 7 individual providers on file at this primary address.
Subpart of 47th Medgrp-Laughlin.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.