Organization · Type 2 NPI
Lakeside Family Care Clinic
Preferred Provider Organization · Granbury, TX
Practice location
900 Whitehead Dr.
Granbury, TX 76048
Fax (817) 573-8294
Mailing address
PO Box 2249
Granbury, TX 76048-7249
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | J6020 (TX) |
Preferred Provider Organization: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
About NPI 1700055423
Lakeside Family Care Clinic's National Provider Identifier is 1700055423, issued on Feb 27, 2008. The primary taxonomy on file is Preferred Provider Organization (305R00000X), and the practice location is in Granbury, TX. The record was last updated on Feb 27, 2008.