Lakeside Family Care Clinic in Granbury - Preferred Provider Organization
Lakeside Family Care Clinic - NPI 1700055423
Lakeside Family Care Clinic is a Preferred Provider Organization in Granbury, Texas. Lakeside Family Care Clinic practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Lakeside Family Care Clinic is 1700055423. The last update date is 2008-02-27.
Lakeside Family Care Clinic's current location address is Po Box 2249, Granbury, Texas. You can contact this provider via phone number 8175738320 and fax number 8175738294. The mailing address for Lakeside Family Care Clinic is Po Box 2249, Granbury, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeside Family Care Clinic |
|---|---|
| Address | Po Box 2249, Granbury, Texas |
| Phone Number | 8175738320 |
| Fax Number | 8175738294 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DOCTOR |
|---|---|
| Authorized Official Name | Moss Abigail Judith |
| Credentials | D.O. |
| Telephone Number | 8175738320 |
NPI Number Detail
| NPI Number | 1700055423 |
|---|---|
| Provider Enumeration Date | 2008-02-27 |
| Last Updated Date | 2008-02-27 |
Provider Mailing Address Detail
| Address | Po Box 2249 |
|---|---|
| City | Granbury |
| State | Texas (TX) |
| Post Code | 760487249 |
| Phone Number | 8175738320 |
| Fax Number | 8175738294 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | J6020 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Post Comment/ Review Below
What is the unique provider identifier assigned to Lakeside Family Care Clinic?
The Lakeside Family Care Clinic has been issued the NPI (National Provider Identifier) 1700055423 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lakeside Family Care Clinic?
The Lakeside Family Care Clinic is physically situated at Po Box 2249, in the city of Granbury, state of TX, with the postal code 760487249.
What is Lakeside Family Care Clinic's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Lakeside Family Care Clinic is Preferred Provider Organization, and the corresponding taxonomy classification code for this specialized field is 305R00000X.
On what date did the Lakeside Family Care Clinic receive its 1700055423 assignment from the Centers for Medicare & Medicaid Services?
The Lakeside Family Care Clinic was assigned its 1700055423 by the Centers for Medicare & Medicaid Services on 2008-02-27.
When was the information pertaining to Lakeside Family Care Clinic most recently updated or revised?
The details related to Lakeside Family Care Clinic, including its address, specialty, and other relevant information, were last updated or revised on 2008-02-27.