Lytle Family Practice PA

NPI #1790870327 in Lytle, Texas

Provider Information

NPI Number: 1790870327
Entity Type: Organization
Organization Name: Lytle Family Practice PA
Primary Specialty: Family Medicine
Enumeration Date: Oct 3, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 19432 DAVIS ST
City: Lytle
State: Texas
ZIP Code: 78052-1601
Phone: (830) 709-9960

Authorized Official

Name: DR. GLENDON SALDIVAR HACK, MD
Title: PRESIDENT
Phone: (830) 709-9960

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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