NPI age
19 years
Enumerated 2006-08-14
● Active Type 2 · Organization
Lake Ray Hubbard Pediatrics
Lake Ray Hubbard Pediatrics is 1 of 7055 pediatrics organizations in Texas.
Primary specialty
Pediatrics
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Granger
Owner/pediatrician
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05
How this organization compares
Across 7055 active pediatrics providers in Texas.
NPI age
19 years
≈ at median (18 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
9100 Lakeview Pkwy
Rowlett, TX 750884537
Mailing address
9100 Lakeview Pkwy
Rowlett, TX 750884537
Authorized official
David Phillip Granger, MD
Owner/pediatrician
📞 9724123034
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Vincent Iannelli, MD Pediatrics NPI 1205894078
- Callie Kinsley, CPNP Nurse Practitioner NPI 1063801736
- Thomas Kosh, PA-C Physician Assistant NPI 1881061208
- Susan Smart, MD Pediatrics NPI 1871550160
- Kristen Waw, M.D. Pediatrics NPI 1669684833
Specialties
-
Pediatrics PrimaryA pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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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.