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NPI 1154767580
● Active Type 2 · Organization
Lubbock Heritage Hospital, Llc
General Acute Care Hospital · Lubbock, TX · NPI 1154767580
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Enumerated 2013 · 13 years on NPI
Lubbock Heritage Hospital, Llc is 1 of 1218 general acute care hospital organizations in Texas.
NPI age
13 years
Enumerated 2013-05-13
Primary specialty
General Acute Care Hospital
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Anderson
Assistant Secretary Of Enrollments
Last NPPES update
2025-05-15
Source: monthly bulk 2026-05
How this organization compares
Across 1218 active general acute care hospital providers in Texas.
NPI age
13 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
NPI lifetime · 2013 → 2026
2013-05 Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
2412 50th St
Lubbock, TX 794122504
📞 8067884000 fax 8067884278
Mailing address
Po Box 676200
Dallas, TX 752676200
📞 8067884000 fax 8067884278
Authorized official
Donald Wayne Anderson
Assistant Secretary Of Enrollments
📞 4253589786
Individual providers at this organization
20 individual providers on file at this primary practice address.
Michael Balch , M.D.
Internal Medicine
NPI 1508811217
Norah Bate , DNP, FNP-C
Nurse Practitioner
NPI 1902342231
Chuong Chau , M.D.
Anesthesiology
NPI 1336311968
Sam Colley , M.D.
Anesthesiology
NPI 1942328687
Victoria Dorr , MD
Internal Medicine
NPI 1053329912
Tonya Fife , FNP
Nurse Practitioner
NPI 1184697047
Paula Galloway , AA
Anesthesiologist Assistant
NPI 1639607062
Mason Gibson , AA
Anesthesiologist Assistant
NPI 1558852913
Andrea Griego
Nurse Anesthetist, Certified Registered
NPI 1386181949
Jennifer Halfmann , FNP
Nurse Practitioner
NPI 1609146448
George Hays , CRNA
Nurse Anesthetist, Certified Registered
NPI 1902830102
Randall Hickle , M.D.
Anesthesiology
NPI 1639116676
Kassie Idicula , PA
Physician Assistant
NPI 1952711947
Elizabeth Kennelly , AA
Anesthesiologist Assistant
NPI 1548648942
Tim King , CRNA
Nurse Anesthetist, Certified Registered
NPI 1942244744
Kayleigh McCarrell , CRNA
Nurse Anesthetist, Certified Registered
NPI 1003370909
Jerome Morris , CRNA
Nurse Anesthetist, Certified Registered
NPI 1487044699
Karlyn Nelson , AA-C
Anesthesiologist Assistant
NPI 1992136105
Sergiy Nesterenko , M.D.
Orthopaedic Surgery
NPI 1669631222
Debra Nordmeyer , M.D,
Anesthesiology
NPI 1669683827
Specialties
General Acute Care Hospital
Primary
An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital...
TX license #008730 taxonomy 282N00000X
Identifiers
Type Value Notes
05 (TX)
281514401
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
Practice context
Multi-provider organization.
20 individual providers on file at this primary address.
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How to verify this organization
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.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.