Lake Kiowa Medical Clinic
NPI #1235697350 in Gainesville, Texas
Provider Information
- NPI Number
- 1235697350
- Entity Type
- Organization
- Organization Name
- Lake Kiowa Medical Clinic
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 7, 2019
- Last Updated
- Aug 28, 2024
Practice Location
- Address
- 100 KIOWA DR W APT 103
- City
- Gainesville
- State
- Texas
- ZIP Code
- 76240-9507
- Phone
- (940) 612-5562
Authorized Official
- Name
- HOLLY OLIVEIRA, FNP
- Title
- OWNER
- Phone
- (940) 612-5562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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