LAKESIDE FAMILY CARE CLINIC

GRANBURY, TX
NPI1700055423
Entity TypeOrganization
Authorized ContactJUDITH ABIGAIL MOSS
Doctor
817-573-8320
Organization Subpart ?No
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: TX  J6020)
Enumeration Date2008-02-27
Last Update Date2008-02-27
Business Address
LAKESIDE FAMILY CARE CLINIC
900 WHITEHEAD DR.
GRANBURY, TX 76048
Phone number: 817-573-8320
Mailing Address
LAKESIDE FAMILY CARE CLINIC
PO BOX 2249
GRANBURY, TX 76048-7249
Phone number: 817-573-8320