Lakeside Family Care Clinic
Lakeside Family Care Clinic is a Preferred Provider Organization in Granbury, Texas. Licensed in Texas. Registered with an NPI since 2008.
- Licensed in
- TX
- In the registry since
- 2008
Practice location Address checks out
900 Whitehead DrGranbury, TX 76048
Phone: (817) 573-8320
Fax: (817) 573-8294
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Preferred Provider Organization (primary) | Taxonomy 305R00000X · Licence J6020 (TX) |
|---|
Record details
| NPI number | 1700055423 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Judith Moss — Doctor · (817) 573-8320 |
| NPI enumerated | February 27, 2008 |
| Last updated in NPPES | February 27, 2008 |
| Mailing address | Po Box 2249, Granbury, TX 76048-7249 |