Lansdell Family Clinic Pllc

NPI #1114534252 in Texarkana, Texas

Provider Information

NPI Number
1114534252
Entity Type
Organization
Organization Name
Lansdell Family Clinic Pllc
Subpart
Yes (part of a larger organization)
Parent Organization
LANSDELL FAMILY CLINIC PLLC
Primary Specialty
Nurse Practitioner - Family
Enumeration Date
Sep 23, 2020
Last Updated
Sep 23, 2020

Practice Location

Address
4102 GIBSON LN
State
Texas
ZIP Code
75503-1120
Phone
(903) 255-7923

Authorized Official

Name
MICHAEL WAYNE LANSDELL
Title
VICE PRESIDENT
Phone
(870) 584-1053

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner - GerontologyGerontology
Nurse Practitioner - FamilyFamily

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