Family Medicine Rural Health Clinic, PA

NPI #1073665915 in Lampasas, Texas

Provider Information

NPI Number: 1073665915
Entity Type: Organization
Organization Name: Family Medicine Rural Health Clinic, PA
Primary Specialty: Family Medicine
Enumeration Date: Jan 18, 2007
Last Updated: Mar 20, 2017

Practice Location

Address: 187 PR 4060
City: Lampasas
State: Texas
ZIP Code: 76550-4071
Phone: (512) 556-3621

Authorized Official

Name: DR. MARK S LANE, M.D.
Title: PHYSICIAN
Phone: (512) 556-3621

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Family Medicine	207Q00000X	Primary

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