Lake Granbury Internal Medicine & Pediatrics, Pa in Granbury - Pediatrics
Lake Granbury Internal Medicine & Pediatrics, Pa - NPI 1972608636
Lake Granbury Internal Medicine & Pediatrics, Pa is a Pediatrics in Granbury, Texas. Lake Granbury Internal Medicine & Pediatrics, Pa practices all healthcare services and medical treatments related to Pediatrics. 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 |
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Address | 2005 Rockview Drive, Granbury, Texas |
Phone Number | 8175791005 |
Fax Number | 8175791093 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PHYSICIAN/ |
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Authorized Official Name | Jackson A. Penelope |
Credentials | M.D. |
Telephone Number | 8175791005 |
NPI Number Detail
NPI Number | 1972608636 |
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Provider Enumeration Date | 2006-09-14 |
Last Updated Date | 2014-04-02 |
Provider Mailing Address Detail
Address | 2005 Rockview Drive |
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City | Granbury |
State | Texas (TX) |
Post Code | 76049 |
Phone Number | 8175791005 |
Fax Number | 8175791093 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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 Pediatrics, and it falls under the taxonomy code 208000000X, 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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