SOUR LAKE HEALTH & MEDICAL, PLLC is a family nurse practitioner in Sour Lake, TX. SOUR LAKE HEALTH & MEDICAL, PLLC NPI is 1346511433. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Sour Lake Health & Medical.
The provider's business location address is:
689 SIXTH STREET
SOUR LAKE, TX
ZIP 77659-870
Phone: (409) 287-4100
Fax: (409) 287-4105
The provider's authorized official is Lacey Guedry .
The authorized official title is Owner and has the following contact phone number (409) 287-4100.
The CLIA number assigned to this NPI record is 45D2040635 - practitioner other with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 1/20/2012 and was last updated on 3/27/2019.