Provider Demographics
NPI:1134089386
Name:UPLIFT FAMILY MEDICINE, PLLC
Entity type:Organization
Organization Name:UPLIFT FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:JOBETH
Authorized Official - Middle Name:
Authorized Official - Last Name:AUGUSTYNIAK
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:903-647-4511
Mailing Address - Street 1:1800 TEAGUE DR STE 502
Mailing Address - Street 2:
Mailing Address - City:SHERMAN
Mailing Address - State:TX
Mailing Address - Zip Code:75090-2656
Mailing Address - Country:US
Mailing Address - Phone:903-647-4511
Mailing Address - Fax:903-647-4511
Practice Address - Street 1:1800 TEAGUE DR STE 502
Practice Address - Street 2:
Practice Address - City:SHERMAN
Practice Address - State:TX
Practice Address - Zip Code:75090-2656
Practice Address - Country:US
Practice Address - Phone:903-647-4511
Practice Address - Fax:903-647-4511
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-11-12
Last Update Date:2025-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty