| NPI | 1053690016 |
|---|---|
| Doing Business As | LAKE JACKSON FAMILY PRACTICE PA |
| Entity Type | Organization |
| Authorized Contact | THOMAS NGUYEN Billing Manager 713-774-5462 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX N3996) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2011-08-09 |