1. Home
  2. Directory
  3. Texas
  4. Gainesville
  5. Family Medicine
  6. NPI Profile

LAKE KIOWA MEDICAL CLINIC
NPI 1235697350
Family Medicine in Gainesville, TX

Active since March 07, 2019CLIA 45D0998159 · Microscopy
100 KIOWA DR W APT 103, GAINESVILLE, TX 76240(940) 612-5562(940) 665-6201 Get Directions Write a Review

NPPES record last updated: August 28, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Kiowa Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE KIOWA MEDICAL CLINIC (NPI 1235697350) is a healthcare organization registered as a family medicine in Gainesville, Texas and active in the NPI registry since March 2019. The organization holds a CLIA Microscopy certificate valid through April 7, 2028 and lists Holly Oliveira, Owner, as its authorized official.

NPPES Registry Identity

NPI1235697350
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameLAKE KIOWA MEDICAL CLINIC
Location Address100 KIOWA DR W APT 103Gainesville, TX 76240-9507
Mailing AddressPo Box 1358Gainesville, TX 76241-1358 · (940) 612-5562 · Fax (940) 665-6201
Phone(940) 612-5562
Fax(940) 665-6201
Organization SubpartNo
Authorized OfficialHolly OliveiraOwner · (940) 612-5562
Enumeration DateMarch 7, 2019
Last NPPES UpdateAugust 28, 2024
NPPES CertifiedAugust 28, 2024
✔ NPI 1235697350 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
100 KIOWA DR W APT 103, Gainesville, TX 76240
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D0998159

Lake Kiowa Medical Clinic · Lake Kiowa, TX
Active · expires Apr 7, 2028
CLIA Number45D0998159
Laboratory TypePhysician Office
Certificate Effective DateApril 8, 2026
Certificate Expiration DateApril 7, 2028
Laboratory DirectorRobert R. Mcleroy MD
Laboratory Phone(940) 612-5562
Laboratory LocationLake Kiowa Medical Clinic100 Kiowa Drive West Suite 103, Lake Kiowa, TX 76240
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Kiowa Medical Clinic's NPI number?

The NPI number for Lake Kiowa Medical Clinic is 1235697350. It was assigned to this organization in the NPPES registry on March 7, 2019.

Where is Lake Kiowa Medical Clinic located?

Lake Kiowa Medical Clinic is located at 100 Kiowa Dr W Apt 103, Gainesville, TX 76240. The listed phone number is (940) 612-5562.

What is Lake Kiowa Medical Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Lake Kiowa Medical Clinic hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 45D0998159) is associated with this NPI, valid through April 7, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Lake Kiowa Medical Clinic accept?

Health plans from Blue Cross and Blue Shield of Texas list Lake Kiowa Medical Clinic as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lake Kiowa Medical Clinic was last updated on August 28, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.