Lake Granbury Internal Medicine & Pediatrics, PA
NPI #1972608636 in Granbury, Texas
Provider Information
- NPI Number
- 1972608636
- Entity Type
- Organization
- Organization Name
- Lake Granbury Internal Medicine & Pediatrics, PA
- Primary Specialty
- Internal Medicine
- Enumeration Date
- Sep 14, 2006
- Last Updated
- Apr 2, 2014
Practice Location
Authorized Official
- Name
- DR. PENELOPE A. JACKSON, M.D.
- Title
- PHYSICIAN/OWNER
- Phone
- (817) 579-1005
Specialties & Taxonomy Codes
| Specialty |
|---|
| Pediatrics |
| Internal Medicine |
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