Provider Demographics
NPI:1457099020
Name:ROBERT LUMFORD
Entity Type:Organization
Organization Name:ROBERT LUMFORD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:STEVENS
Authorized Official - Last Name:LUMPFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-578-2639
Mailing Address - Street 1:1209 NORTHWEST HWY # 160
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-5835
Mailing Address - Country:US
Mailing Address - Phone:214-478-4198
Mailing Address - Fax:
Practice Address - Street 1:2813 SEMINARY CIR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75043-1210
Practice Address - Country:US
Practice Address - Phone:522-144-7841
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-24
Last Update Date:2022-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care