FAMILY MEDICINE RURAL HEALTH CLINIC PA NPI 1073665915

NPI Information

NPI: 1073665915
Provider Name: FAMILY MEDICINE RURAL HEALTH CLINIC, PA
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
187 PR 4060
LAMPASAS, TX
ZIP 76550
Phone: (512) 556-3621
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FAMILY MEDICINE RURAL HEALTH CLINIC, PA is a family medicine in Lampasas, TX. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. FAMILY MEDICINE RURAL HEALTH CLINIC, PA NPI is 1073665915. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

187 PR 4060
LAMPASAS, TX
ZIP 76550-071
Phone: (512) 556-3621
Fax: (512) 556-6594

The provider's authorized official is Mark S Lane .
The authorized official title is Physician and has the following contact phone number (512) 556-3621.

The enumeration date for this NPI number is 1/18/2007 and was last updated on 3/20/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics				No
2	207Q00000X	Family Medicine				Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	CG2858	OTHER	TEXAS	RAILROAD MEDICARE
2	00U72J	OTHER	TEXAS	BLUE CROSS/BLUE SHIELD
3	121186401	MEDICAID	TEXAS
4	00U72J	MEDICARE PIN	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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