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Lago Mar Medical Clinic Llc
Adult Medicine Physician in Texas City, Texas
NPI 1063055820

Lago Mar Medical Clinic Llc is an Adult Medicine Physician based in Texas City, TX and is specialized in Adult Medicine. Lago Mar Medical Clinic Llc practices in Texas City, TX. The NPI Number for Lago Mar Medical Clinic Llc is 1063055820 and holds a License No. (Texas).

The current practice location address for Lago Mar Medical Clinic Llc is 8030 Fm 1765 Ste C-102, Texas City, TX and can be reached out via phone at 409-515-3915 and via fax at 409-299-3773.

Location: 8030 Fm 1765 Ste C-102, Texas City, TX, 77591-3689
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1063055820
Provider Name
Lago Mar Medical Clinic Llc
Credential
Provider Entity Type
Organization
Address
8030 Fm 1765 Ste C-102, Texas City, TX, 77591-3689
Phone Number
409-515-3915
Fax Number
409-299-3773
Provider Enumeration Date
10/24/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8030 Fm 1765 Ste C-102
City
Texas City
State
Texas
Zip
77591-3689
Phone Number
409-515-3915
Fax Number
409-299-3773
person
Provider Business Mailing Address Details
Address
8030 Fm 1765 Ste C-102
City
Texas City
State
Texas
Zip
77591-3689
Phone Number
409-515-3915
Fax Number
409-299-3773
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
207QA0505X
License No.
()
Definition
Definition to come.
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