NPI age
20 years
Enumerated 2005-12-08
● Active Type 2 · Organization
Subpart
82d Medgrp-Sheppard
82d Medgrp-Sheppard 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 · 2005 → 2026
2005-12Enumerated in NPPES
2005
2026
Where they practice
Primary practice location
527 Tuskegee Airmen, Bldg 500
Sheppard Afb, TX 76311
Mailing address
527 Tuskegee Airmen, Bldg 500
Sheppard Afb, TX 76311
Authorized official
Jen Lewandowski
Dha Ubo
📞 7038174030
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) | 4510699 | NCPDP |
Practice context
Single-site organization. Only one practice location on file.
Subpart of 82d Medgrp-Sheppard.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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