Lake Jackson Clinic, P.a.
NPI #1205830668 in Lake Jackson, Texas
Provider Information
- NPI Number
- 1205830668
- Entity Type
- Organization
- Organization Name
- Lake Jackson Clinic, P.a.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 13, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 101A PARKING WAY ST
- City
- Lake Jackson
- State
- Texas
- ZIP Code
- 77566-5228
- Phone
- (979) 297-2441
Authorized Official
- Name
- DR. LIEM P BUI, M.D.
- Title
- PRESIDENT
- Phone
- (979) 297-2441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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