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Organization
LANSDELL FAMILY CLINIC PLLC
Active
Organization
LANSDELL FAMILY CLINIC PLLC
Active
Parent organization
LANSDELL FAMILY CLINIC PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LANSDELL FAMILY CLINIC PLLC
Authorized official
MICHAEL WAYNE LANSDELL (VICE PRESIDENT)
(870) 584-1053
Entity
Organization
Contact information
Practice address
4102 GIBSON LN, TEXARKANA, TX 75503-1120
(903) 255-7923
(866) 282-5926
Mailing address
500 E COLLIN RAYE DR STE 2, DE QUEEN, AR 71832-8068
(870) 584-1053
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
Other
Enumeration date
09/23/2020
Last updated
09/23/2020
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