| Lake Texoma Health Clinic, Pllc | |
|
81750 N State Hwy 289 Suite 101 Pottsboro TX 75076 | |
| (903) 357-5014 | |
| (866) 823-8694 |
| Full Name | Lake Texoma Health Clinic, Pllc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 81750 N State Hwy 289, Pottsboro, Texas |
| Authorized Official Name and Position | Deborah Lynn Burchfield (OWNER) |
| Authorized Official Contact | 9033575014 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Texoma Health Clinic, Pllc 81750 N State Hwy 289 Suite 101 Pottsboro TX 75076 Ph: (903) 357-5014 | Lake Texoma Health Clinic, Pllc 81750 N State Hwy 289 Suite 101 Pottsboro TX 75076 Ph: (903) 357-5014 |
| NPI Number | 1871929737 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 01/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871929737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 583252 (Texas) | Primary |