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Organization
LAKE KIOWA MEDICAL CLINIC
Active
Organization
LAKE KIOWA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY OLIVEIRA FNP (OWNER)
(940) 612-5562
Entity
Organization
Contact information
Practice address
100 KIOWA DR W APT 103, GAINESVILLE, TX 76240-9507
(940) 612-5562
(940) 665-6201
Mailing address
PO BOX 1358, GAINESVILLE, TX 76241-1358
(940) 612-5562
(940) 665-6201
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
03/07/2019
Last updated
08/28/2024
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