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MUSGRAVE SPECIALIZED CARE, PLLC
NPI 1750008181
Family Medicine in Southlake, TX

Active since October 26, 2022CLIA 45D2276445 · Waiver
3061 W SOUTHLAKE BLVD STE 130, SOUTHLAKE, TX 76092(214) 668-0414 Get Directions Write a Review

NPPES record last updated: June 22, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 22, 2023, Oct 26, 2022 (2 updates tracked since 2022).

About Musgrave Specialized Care, Pllc NPPES

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

MUSGRAVE SPECIALIZED CARE, PLLC (NPI 1750008181) is a healthcare organization registered as a family medicine in Southlake, Texas and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through February 7, 2027 and lists Dana Gassaway, Administrator, as its authorized official.

NPPES Registry Identity

NPI1750008181
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameMUSGRAVE SPECIALIZED CARE, PLLC
Location Address3061 W SOUTHLAKE BLVD STE 130Southlake, TX 76092-0314
Mailing Address251 E Southlake BlvdSouthlake, TX 76092-6269
Phone(214) 668-0414
Organization SubpartNo
Authorized OfficialDana GassawayAdministrator · (214) 668-0414
Enumeration DateOctober 26, 2022
Last NPPES UpdateJune 22, 20232 updates tracked since enumeration
NPPES CertifiedJune 22, 2023
✔ NPI 1750008181 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.
3061 W SOUTHLAKE BLVD STE 130, Southlake, TX 76092
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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

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 45D2276445

Musgrave Specialized Care, PLLC · Southlake, TX
Active · expires Feb 7, 2027
CLIA Number45D2276445
Laboratory TypePhysician Office
Certificate Effective DateFebruary 8, 2025
Certificate Expiration DateFebruary 7, 2027
Laboratory DirectorWilliam Musgrave
Laboratory Phone(817) 928-3335
Laboratory LocationMusgrave Specialized Care, PLLC3061 W Southlake Blvd, Southlake, TX 76092
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

ASHLEY D HARTZOG PA
Physician Assistant
3061 W SOUTHLAKE BLVD STE 130
SOUTHLAKE, TX 76092
Tarrant County (817) 928-3335

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 Musgrave Specialized Care, PLLC's NPI number?

The NPI number for Musgrave Specialized Care, PLLC is 1750008181. It was assigned to this organization in the NPPES registry on October 26, 2022.

Where is Musgrave Specialized Care, PLLC located?

Musgrave Specialized Care, PLLC is located at 3061 W Southlake Blvd Ste 130, Southlake, TX 76092. The listed phone number is (214) 668-0414.

What is Musgrave Specialized Care, PLLC's specialty?

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

Does Musgrave Specialized Care, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2276445) is associated with this NPI, valid through February 7, 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 Musgrave Specialized Care, PLLC was last updated on June 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.