# FAMILY MEDICINE RURAL HEALTH CLINIC, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073665915
- **Authorized official:** DR. MARK S LANE M.D. (PHYSICIAN)
- **Authorized official phone:** (512) 556-3621

## Contact information

- **Practice address:** 187 PR 4060, LAMPASAS, TX 76550-4071
- **Practice address phone:** (512) 556-3621
- **Practice address fax:** (512) 556-6594
- **Mailing address:** 207 W AVENUE E, LAMPASAS, TX 76550-1820
- **Mailing address phone:** (512) 556-3621
- **Mailing address fax:** (512) 556-6594

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 03/20/2017