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

Lake Country Family Medicine, PA

Organization Family Medicine Physician · NPI 1629392063

Lake Country Family Medicine, PA is a Family Medicine Physician in Fort Worth, Texas. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8465 Boat Club Rd Ste 115
Fort Worth, TX 76179-3676
Phone: (817) 260-0535
Fax: (817) 984-1448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629392063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yung Chen — Owner/Physician · (817) 260-0535
NPI enumeratedMarch 14, 2010
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676

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