47th Medgrp-Laughlin
47th Medgrp-Laughlin is a healthcare organization registered as Military/U.S. Coast Guard Outpatient Clinic/Center in Laughlin Afb, TX, holding Type 2 (organization) NPI 1053399188 since 2006. The authorized official on file is Jen Lewandowski, Dha Ubo.
✓ Active NPI ✓ Valid NPI checksum Organization subpart
| NPI | 1053399188 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | 47th Medgrp-Laughlin |
| Parent organization | 47th Medgrp-Laughlin |
| Practice address | 590 MITCHELL BLVD, Laughlin Afb, TX, 78843 |
| Phone | 8303986320 |
| Fax | 8302986439 |
| Enumeration date | 2006-01-09 |
| Last updated in NPPES | 2025-06-17 |
Authorized official
| Name | Jen Lewandowski |
|---|---|
| Title | Dha Ubo |
| Phone | 7038174030 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QM1101X | Military and U.S. Coast Guard Ambulatory Procedure Clinic/Center | Secondary | — | — |
| 332000000X | Military/U.S. Coast Guard Pharmacy | Secondary | — | — |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4510536 | Other | TX | NCPDP |
| 4510536 | Other | TX | PHARMACY NABP |
Copy-ready billing details
Provider: 47th Medgrp-Laughlin NPI: 1053399188 Taxonomy: 261QM1100X (Military/U.S. Coast Guard Outpatient Clinic/Center) Address: 590 MITCHELL BLVD, Laughlin Afb, TX, 78843
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1265404552 | Melinda Sams | Individual | Pharmacist | Laughlin Afb, TX |
| 1992727077 | Robert Pohler | Individual | Pharmacist | Laughlin Afb, TX |
| 1437167244 | Micheal Beto | Individual | General Practice Dentistry | Laughlin Afb, TX |
| 1043540180 | Tiffany Smith-Hurt | Individual | Clinical Social Worker | Del Rio, TX |
| 1730484809 | Jennifer Hofmann | Individual | Registered Dietitian | Laughlin Afb, TX |
| 1205236544 | Luke Czer | Individual | Dentist | Laughlin Afb, TX |
| 1114506912 | Hannah Carson | Individual | Family Medicine Physician | Laughlin Afb, TX |
| 1497489967 | Alecia Lapp | Individual | Clinical Psychologist | Laughlin Afb, TX |
Verify this record
Cross-check NPI 1053399188 against the authoritative CMS record: view 47th Medgrp-Laughlin on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Where is 47th Medgrp-Laughlin located?
How current is this record?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2025-06-17.