LAKE COUNTRY FAMILY MEDICINE, P.A.

Family Medicine

Active Organization
NPI: 1629392063

Practice Address

8465 BOAT CLUB RD
SUITE 115
Fort Worth, TX 76179

Phone: (817) 260-0535

Specialties

Specialty Code Primary License
Clinic/Center - Primary Care 261QP2300X No K7694 (TX)
Family Medicine 207Q00000X Yes -

Frequently Asked Questions

NPI 1629392063 is the National Provider Identifier for LAKE COUNTRY FAMILY MEDICINE, P.A., a Family Medicine provider located in Fort Worth, TX. This NPI was enumerated on March 14, 2010.

Quick Facts

NPI
1629392063
Type
Organization
Enumerated
Mar 14, 2010
Last Updated
Oct 3, 2023

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