LAGO MAR MEDICAL CLINIC LLC is an adult medicine family medicine in Texas City, TX. The provider is the National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code. LAGO MAR MEDICAL CLINIC LLC NPI is 1063055820. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
8030 FM 1765 STE C-102
TEXAS CITY, TX
ZIP 77591-689
Phone: (409) 515-3915
Fax: (409) 299-3773
The provider's authorized official is Abiola Opabunmi .
The authorized official title is Np/owner and has the following contact phone number (409) 515-3915.
The enumeration date for this NPI number is 10/24/2019 and was last updated on 10/24/2019.