Fort Davis Family Practice, PA
NPI #1578757720 in Fort Davis, Texas
Provider Information
- NPI Number
- 1578757720
- Entity Type
- Organization
- Organization Name
- Fort Davis Family Practice, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 30, 2007
- Last Updated
- Apr 30, 2015
Practice Location
- Address
- 1 MEMORIAL SQUARE
- Address 2
- BOX 792
- City
- Fort Davis
- State
- Texas
- ZIP Code
- 79734-0008
- Phone
- (432) 426-3217
Authorized Official
- Name
- DR. JAMES D LUECKE, MD
- Title
- OWNER/PHYSICIAN
- Phone
- (432) 426-3217
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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