Organization
GRANBURY FAMILY MED CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LOUIS LEE MD (OWNER)
(817) 573-3447
Entity
Organization
Contact information
Practice address
805 HILL BLVD, SUITE 103, GRANBURY, TX 76048-1482
(817) 573-3447
Mailing address
805 HILL BLVD, SUITE 103, GRANBURY, TX 76048-1481
(817) 573-3447
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
145044701
—
TX
Enumeration date
10/17/2007
Last updated
03/03/2008
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