Family Medicine Rural Health Clinic, PA
NPI #1700150869 in Copperas Cove, Texas
Provider Information
- NPI Number
- 1700150869
- Entity Type
- Organization
- Organization Name
- Family Medicine Rural Health Clinic, PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Mar 6, 2012
- Last Updated
- Mar 20, 2017
Practice Location
- Address
- 2401 WALKER PLACE BLVD
- City
- Copperas Cove
- State
- Texas
- ZIP Code
- 76522-4025
- Phone
- (254) 547-5516
Authorized Official
- Name
- MARK S LANE, MD
- Title
- PRESIDENT
- Phone
- (512) 556-3621
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Clinic/Center - Rural Health — Rural Health |
| Family Medicine |
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