Lake Granbury Internal Medicine & Pediatrics, Pa in Granbury - Internal Medicine
Lake Granbury Internal Medicine & Pediatrics, Pa - NPI 1972608636
Lake Granbury Internal Medicine & Pediatrics, Pa is a Internal Medicine in Granbury, Texas. Lake Granbury Internal Medicine & Pediatrics, Pa practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lake Granbury Internal Medicine & Pediatrics, Pa is 1972608636. The last update date is 2014-04-02.
Lake Granbury Internal Medicine & Pediatrics, Pa's current location address is 2005 Rockview Drive, Granbury, Texas. You can contact this provider via phone number 8175791005 and fax number 8175791093. The mailing address for Lake Granbury Internal Medicine & Pediatrics, Pa is 2005 Rockview Drive, Granbury, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lake Granbury Internal Medicine & Pediatrics, Pa |
|---|---|
| Address | 2005 Rockview Drive, Granbury, Texas |
| Phone Number | 8175791005 |
| Fax Number | 8175791093 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PHYSICIAN/ |
|---|---|
| Authorized Official Name | Jackson A. Penelope |
| Credentials | M.D. |
| Telephone Number | 8175791005 |
NPI Number Detail
| NPI Number | 1972608636 |
|---|---|
| Provider Enumeration Date | 2006-09-14 |
| Last Updated Date | 2014-04-02 |
Provider Mailing Address Detail
| Address | 2005 Rockview Drive |
|---|---|
| City | Granbury |
| State | Texas (TX) |
| Post Code | 76049 |
| Phone Number | 8175791005 |
| Fax Number | 8175791093 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Post Comment/ Review Below
What is the Lake Granbury Internal Medicine & Pediatrics, Pa's 1972608636?
The Lake Granbury Internal Medicine & Pediatrics, Pa's NPI (National Provider Identifier) Number is 1972608636. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Lake Granbury Internal Medicine & Pediatrics, Pa is physically located?
The Lake Granbury Internal Medicine & Pediatrics, Pa is physically situated at the following address: 2005 Rockview Drive, Granbury, TX, 76049.
What is Lake Granbury Internal Medicine & Pediatrics, Pa's area of expertise and its corresponding taxonomy classification?
The Lake Granbury Internal Medicine & Pediatrics, Pa's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Lake Granbury Internal Medicine & Pediatrics, Pa receive its 1972608636 assignment from the Centers for Medicare & Medicaid Services?
The Lake Granbury Internal Medicine & Pediatrics, Pa was assigned its 1972608636 by the Centers for Medicare & Medicaid Services on 2006-09-14.
When was the information regarding Lake Granbury Internal Medicine & Pediatrics, Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Lake Granbury Internal Medicine & Pediatrics, Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-04-02.
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