Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Lake Country Family Medicine, PA

Organization Family Medicine Physician · NPI 1629392063

Lake Country Family Medicine, PA provides Family Medicine Physician services in Fort Worth, Texas. Registered with an NPI since 2010.

In the registry since
2010
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8465 Boat Club Rd Ste 115
Fort Worth, TX 76179-3676
Phone: (817) 260-0535
Fax: (817) 984-1448
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1629392063
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yung Chen — Owner/Physician · (817) 260-0535
NPI enumeratedMarch 14, 2010
Last updated in NPPESMarch 12, 2026
Certification dateMarch 12, 2026
Mailing address8465 Boat Club Rd Ste 115, Fort Worth, TX 76179-3676

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