Lago Mar Medical Clinic LLC
NPI #1063055820 in Texas City, Texas
Provider Information
- NPI Number
- 1063055820
- Entity Type
- Organization
- Organization Name
- Lago Mar Medical Clinic LLC
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Oct 24, 2019
- Last Updated
- Oct 24, 2019
Practice Location
- Address
- 8030 FM 1765 STE C-102
- City
- Texas City
- State
- Texas
- ZIP Code
- 77591-3689
- Phone
- (409) 515-3915
Authorized Official
- Name
- ABIOLA OPABUNMI, NP
- Title
- NP/OWNER
- Phone
- (409) 515-3915
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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