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

Lake Kiowa Medical Clinic

Organization Family Medicine Physician · NPI 1235697350

Lake Kiowa Medical Clinic is a Family Medicine Physician in Gainesville, Texas. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

100 Kiowa Dr W Apt 103
Gainesville, TX 76240-9507
Phone: (940) 612-5562
Fax: (940) 665-6201
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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

Record details

NPI number1235697350
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Holly Oliveira — Owner · (940) 612-5562
NPI enumeratedMarch 7, 2019
Last updated in NPPESAugust 28, 2024
Certification dateAugust 28, 2024
Mailing addressPo Box 1358, Gainesville, TX 76241-1358

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