Lake Kiowa Medical Clinic
Lake Kiowa Medical Clinic provides Family Medicine Physician services in Gainesville, Texas. Registered with an NPI since 2019.
- In the registry since
- 2019
Practice location Address checks out
100 Kiowa Dr W Apt 103Gainesville, TX 76240-9507
Phone: (940) 612-5562
Fax: (940) 665-6201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1235697350 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Holly Oliveira — Owner · (940) 612-5562 |
| NPI enumerated | March 7, 2019 |
| Last updated in NPPES | August 28, 2024 |
| Certification date | August 28, 2024 |
| Mailing address | Po Box 1358, Gainesville, TX 76241-1358 |
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