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TEXAS HEALTHY AGING AND HORMONE THERAPY LLC
NPI 1245771963
Family Medicine in Mineral Wells, TX

Active since March 14, 2017CLIA 45D2129464 · Waiver
202 SW 25TH AVE, SUITE 1200, MINERAL WELLS, TX 76067(940) 325-3706(940) 325-6200 Get Directions Write a Review

NPPES record last updated: March 14, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Texas Healthy Aging And Hormone Therapy Llc NPPES

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

TEXAS HEALTHY AGING AND HORMONE THERAPY LLC (NPI 1245771963) is a healthcare organization registered as a family medicine in Mineral Wells, Texas and active in the NPI registry since March 2017. The organization holds a CLIA Waiver certificate valid through April 18, 2027 and lists Lori Shae Hopper, Sole Mbr, as its authorized official.

NPPES Registry Identity

NPI1245771963
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameTEXAS HEALTHY AGING AND HORMONE THERAPY LLC
Location Address202 SW 25TH AVE, SUITE 1200Mineral Wells, TX 76067-8298
Mailing Address202 Sw 25th Ave, Suite 1200Mineral Wells, TX 76067-8298 · (940) 325-3706 · Fax (940) 325-6200
Phone(940) 325-3706
Fax(940) 325-6200
Organization SubpartNo
Authorized OfficialLori Shae HopperSole Mbr · (940) 325-3706
Enumeration DateMarch 14, 2017
✔ NPI 1245771963 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.
202 SW 25TH AVE, Mineral Wells, TX 76067
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Texas Healthy Aging And Hormone Therapy Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Texas Healthy Aging And Hormone Therapy LLC, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Brandon Boswell, MSN, RN, FNP-C
Nurse Practitioner
NPI 1568926343
2517 HIGHWAY 180 W STE A
Mineral Wells, TX 76067
(940) 325-3706
✔ PECOS✔ Accepts Medicare0.1 mi
Janet Rounsville, FNP-C
Nurse Practitioner
NPI 1255070348
2517 HIGHWAY 180 W STE A
Mineral Wells, TX 76067
(940) 325-3706
✔ PECOS✔ Accepts Medicare0.1 mi
Lori Hopper, FNP
Nurse Practitioner
NPI 1396033619
2517 HIGHWAY 180 W STE A
Mineral Wells, TX 76067
(940) 325-3706
✔ PECOS✔ Accepts Medicare1.1 mi
Brent Shepherd, M.D.
Family Practice
NPI 1164687620
215 CHISHOLM TRL
Jacksboro, TX 76458
(940) 567-5528
✔ PECOS✔ Accepts Medicare30 mi
Megan Solis, FNP-C
Nurse Practitioner
NPI 1649729419
1500 S MAIN ST
Fort Worth, TX 76104
(817) 701-3090
✔ PECOS48 mi
Pamela Ezzell, APRN, FNP-C
Nurse Practitioner
NPI 1780315267
1619 HIGHWAY 206
Cisco, TX 76437
(254) 442-8802
✔ PECOS✔ Accepts Medicare58 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 45D2129464

Texas Healthy Aging & Hormone Therapy, LLC · Mineral Wells, TX
Active · expires Apr 18, 2027
CLIA Number45D2129464
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorLori S. Hopper
Laboratory Phone(940) 325-3706
Laboratory LocationTexas Healthy Aging & Hormone Therapy, LLC2517 Hwy 180W Suite A, Mineral Wells, TX 76067
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Texas Healthy Aging And Hormone Therapy LLC's NPI number?

The NPI number for Texas Healthy Aging And Hormone Therapy LLC is 1245771963. It was assigned to this organization in the NPPES registry on March 14, 2017.

Where is Texas Healthy Aging And Hormone Therapy LLC located?

Texas Healthy Aging And Hormone Therapy LLC is located at 202 SW 25th Ave Suite 1200, Mineral Wells, TX 76067. The listed phone number is (940) 325-3706.

What is Texas Healthy Aging And Hormone Therapy LLC's specialty?

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

Is Texas Healthy Aging And Hormone Therapy LLC enrolled in Medicare?

Yes. Texas Healthy Aging And Hormone Therapy LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Texas Healthy Aging And Hormone Therapy LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Texas Healthy Aging And Hormone Therapy LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (5) and Family Practice (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Texas Healthy Aging And Hormone Therapy LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2129464) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Texas Healthy Aging And Hormone Therapy LLC was last updated on March 14, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years 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.