| NPI | 1407738701 |
|---|---|
| Doing Business As | LAKE JACKSON FAMILY CARE |
| Entity Type | Organization |
| Authorized Contact | MARK D YOUNG Chief Executive Officer 281-824-1480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2025-07-25 |
| Last Update Date | 2025-07-25 |