| NPI | 1124392683 |
|---|---|
| Doing Business As | LAKE SAN MARCOS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | NEIL L HALIM Owner 318-230-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CA C53327) |
| Enumeration Date | 2012-03-01 |
| Last Update Date | 2012-03-01 |