Lakeway Medical Clinic, Llc | |
1008 Ranch Road 620 S Lakeway TX 78734-5631 | |
(512) 714-9602 | |
Not Available |
Full Name | Lakeway Medical Clinic, Llc |
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Speciality | Family Medicine |
Location | 1008 Ranch Road 620 S, Lakeway, Texas |
Authorized Official Name and Position | Alex Cobarrubias (MANAGER) |
Authorized Official Contact | 7135513455 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lakeway Medical Clinic, Llc 1008 Ranch Road 620 S Lakeway TX 78734-5631 Ph: (512) 714-9602 | Lakeway Medical Clinic, Llc 1008 Ranch Road 620 S Lakeway TX 78734-5631 Ph: (512) 714-9602 |
NPI Number | 1265190235 |
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Provider Enumeration Date | 12/07/2021 |
Last Update Date | 12/07/2021 |
Identifier | Type | State | Issuer |
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1265190235 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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