# GOLDEN TRIANGLE FAMILY CARE CENTER

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

## Provider details

- **NPI number:** 1669545067
- **Authorized official:** CHRISTOPHER PAUL PENNING DO (PHYSICIAN/OWNER)
- **Authorized official phone:** (409) 735-7305

## Contact information

- **Practice address:** 615 W ROUND BUNCH RD, BRIDGE CITY, TX 77611-2434
- **Practice address phone:** (409) 735-7305
- **Practice address fax:** (888) 972-9401
- **Mailing address:** 615 W ROUND BUNCH RD, BRIDGE CITY, TX 77611-2434
- **Mailing address phone:** (409) 735-7305
- **Mailing address fax:** (409) 792-0201

## Taxonomy

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

## Other

- **Enumeration date:** 11/16/2006
- **Last updated:** 10/13/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 159305501 | — | TX |