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LAKESIDE FAMILY CARE CLINIC
NPI 1700055423
Preferred Provider Organization in Granbury, TX

Active since February 27, 2008
900 WHITEHEAD DR., GRANBURY, TX 76048(817) 573-8320(817) 573-8294 Get Directions Write a Review

NPPES record last updated: February 27, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lakeside Family Care Clinic NPPES

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

LAKESIDE FAMILY CARE CLINIC (NPI 1700055423) is a healthcare organization registered as a preferred provider organization in Granbury, Texas and active in the NPI registry since February 2008. The organization lists Judith Abigail Moss, Doctor, as its authorized official.

NPPES Registry Identity

NPI1700055423
Entity TypeOrganization
Primary Taxonomy305R00000X
Legal Business NameLAKESIDE FAMILY CARE CLINIC
Location Address900 WHITEHEAD DR.Granbury, TX 76048
Mailing AddressPo Box 2249Granbury, TX 76048-7249 · (817) 573-8320 · Fax (817) 573-8294
Phone(817) 573-8320
Fax(817) 573-8294
Organization SubpartNo
Authorized OfficialJudith Abigail MossDoctor · (817) 573-8320
Enumeration DateFebruary 27, 2008
✔ NPI 1700055423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPreferred Provider OrganizationManaged Care Organizations
Taxonomy Code305R00000X
License✔ Licensed in TX · J6020
Definition
A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.
900 WHITEHEAD DR., Granbury, TX 76048
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Other Identifiers 1

Medicare UPIN0097ACTX

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 Lakeside Family Care Clinic's NPI number?

The NPI number for Lakeside Family Care Clinic is 1700055423. It was assigned to this organization in the NPPES registry on February 27, 2008.

Where is Lakeside Family Care Clinic located?

Lakeside Family Care Clinic is located at 900 Whitehead Dr., Granbury, TX 76048. The listed phone number is (817) 573-8320.

What is Lakeside Family Care Clinic's specialty?

The primary specialty registered for this NPI is Preferred Provider Organization with taxonomy code 305R00000X.

When was this NPI record last updated?

The NPPES record for Lakeside Family Care Clinic was last updated on February 27, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.