LAKE TEXOMA HEALTH CLINIC PLLC NPI 1871929737

NPI Information

NPI: 1871929737
Provider Name: LAKE TEXOMA HEALTH CLINIC, PLLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
81750 N STATE HWY 289
SUITE 101
POTTSBORO, TX
ZIP 75076
Phone: (903) 357-5014
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LAKE TEXOMA HEALTH CLINIC, PLLC is a primary care clinic center in Pottsboro, TX. LAKE TEXOMA HEALTH CLINIC, PLLC NPI is 1871929737. The provider is registered as an organization entity type.

The provider's business location address is:

81750 N STATE HWY 289
SUITE 101
POTTSBORO, TX
ZIP 75076
Phone: (903) 357-5014
Fax: (866) 823-8694

The provider's authorized official is Deborah Lynn Burchfield .
The authorized official title is Owner and has the following contact phone number (903) 357-5014.

The enumeration date for this NPI number is 9/23/2013 and was last updated on 1/13/2015.

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	261QP2300X	Clinic/Center	Primary Care	583252	TEXAS	Yes

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: 5/5/2024

NPI Synchronization or Removal

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