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Organization
LAKE COUNTRY FAMILY MEDICINE, P.A.
Active
Organization
LAKE COUNTRY FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUNG CHEN DO (OWNER/PHYSICIAN)
(817) 260-0535
Entity
Organization
Contact information
Practice address
8465 BOAT CLUB RD STE 115, FORT WORTH, TX 76179-3676
(817) 260-0535
(817) 984-1448
Mailing address
8465 BOAT CLUB RD STE 115, FORT WORTH, TX 76179-3676
(817) 260-0535
(817) 984-1448
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QP2300X
Primary Care Clinic/Center
K7694
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2144495
—
TX
Enumeration date
03/14/2010
Last updated
03/12/2026
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