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ENRICHED LIFE MEDICAL
NPI 1043079742
Family Medicine in Gun Barrel City, TX

Active since March 15, 2024CLIA 45D2301053 · Waiver
2412 W MAIN ST, GUN BARREL CITY, TX 75156(903) 309-9373 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2026, Jan 30, 2026, Mar 25, 2025 and 3 more (6 updates tracked since 2024).

About Enriched Life Medical NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ENRICHED LIFE MEDICAL (NPI 1043079742) is a healthcare organization registered as a family medicine in Gun Barrel City, Texas and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through March 19, 2028 and lists Jon M Rich, Owner, as its authorized official.

NPPES Registry Identity

NPI1043079742
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameENRICHED LIFE MEDICAL
Location Address2412 W MAIN STGun Barrel City, TX 75156-3638
Mailing Address2412 W Main StGun Barrel City, TX 75156-3638 · (903) 309-9373 · Fax (903) 405-4573
Phone(903) 309-9373
Organization SubpartNo
Authorized OfficialJon M RichOwner · (903) 309-9373
Enumeration DateMarch 15, 2024
Last NPPES UpdateMay 15, 20266 updates tracked since enumeration
NPPES CertifiedMay 15, 2026
✔ NPI 1043079742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2412 W MAIN ST, Gun Barrel City, TX 75156
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Other Names 2

Doing Business AsEnriched Life Medical
Doing Business AsJon M Rich

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2301053

Enriched Life Medical · Gun Barrel City, TX
Active · expires Mar 19, 2028
CLIA Number45D2301053
Laboratory TypePhysician Office
Certificate Effective DateMarch 20, 2026
Certificate Expiration DateMarch 19, 2028
Laboratory DirectorJon Rich
Laboratory Phone(903) 309-9373
Laboratory LocationEnriched Life Medical2412 West Main Street, Gun Barrel City, TX 75156
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EMILY LAUREN MILLER
Nurse Practitioner (Family)
2412 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 309-9373
ENRICHED LIFE MEDICAL, PLLC
Family Medicine
2412 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 309-9373
DR. JON M RICH D.O.
Family Medicine
2412 W MAIN ST
GUN BARREL CITY, TX 75156
Henderson County (903) 309-9373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Enriched Life Medical's NPI number?

The NPI number for Enriched Life Medical is 1043079742. It was assigned to this organization in the NPPES registry on March 15, 2024. The provider is doing business as Jon M Rich.

Where is Enriched Life Medical located?

Enriched Life Medical is located at 2412 W Main St, Gun Barrel City, TX 75156. The listed phone number is (903) 309-9373.

What is Enriched Life Medical's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Enriched Life Medical hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2301053) is associated with this NPI, valid through March 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Enriched Life Medical was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.