Lake Country Family Medicine, P.A.
LBN: Lake Country Family Medicine, P.A.
Lake Country Family Medicine, P.A. is an health care organization with primary practice located at 8465 Boat Club Rd Suite 115, Fort Worth TX 76179-3607. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Ambulatory Health Care Facilities / Primary Care. Allopathic & Osteopathic Physicians / Family Medicine is the primary health care specialty.
Lake Country Family Medicine, P.A. can be contacted via phone (817) 260-0535, or through Chen, Yung Sieu via phone (817) 260-0535.
Contact Information
Primary practice address
8465 Boat Club Rd Suite 115
Fort Worth TX 76179-3607
Phone: (817) 260-0535
Fax: (817) 984-1448
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | ||
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X | K7694 | Texas |
Profile Details
| NPI number | 1629392063 |
|---|---|
| LBN Legal business name | Lake Country Family Medicine, P.A. |
| DBA Doing business as | |
| Authorized official | Chen, Yung Sieu Doctor of Osteopathy (DO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 14th, 2010 |
| Last updated | Oct 3rd, 2023 - about last year |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629392063 | NPPES |
| Texas | MEDICAID | 2144495 |
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