Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Family Medicine Rural Health Clinic, PA

Organization Family Medicine Physician · NPI 1700150869

Family Medicine Rural Health Clinic, PA is a Family Medicine Physician in Copperas Cove, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
In the registry since
2012
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2401 Walker Place Blvd
Copperas Cove, TX 76522-4025
Phone: (254) 547-5516
Fax: (254) 542-0039
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X
Pediatrics Physician Taxonomy 208000000X
Rural Health Clinic/Center Taxonomy 261QR1300X (TX)

Record details

NPI number1700150869
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Mark Lane — President · (512) 556-3621
Other names Family Medicine Clinic
NPI enumeratedMarch 6, 2012
Last updated in NPPESMarch 20, 2017
Mailing address207 W Avenue E, Lampasas, TX 76550-1820

Other providers in Copperas Cove