LAKE COUNTRY FAMILY MEDICINE, P.A. is a primary care clinic center in Fort Worth, TX. LAKE COUNTRY FAMILY MEDICINE, P.A. NPI is 1629392063. The provider is registered as an organization entity type.
The provider's business location address is:
8465 BOAT CLUB RD
SUITE 115
FORT WORTH, TX
ZIP 76179-607
Phone: (817) 260-0535
The provider's authorized official is Yung Sieu Chen .
The authorized official title is Owner and has the following contact phone number (817) 260-0535.
The CLIA number assigned to this NPI record is 45D2014261 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 3/14/2010 and was last updated on 7/9/2011.