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Lakeside Family Care Clinic

Preferred Provider Organization in Granbury, TX · enumerated 2008 · authorized official Judith Moss, Doctor.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1700055423

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Registry record

Entity type Organization (Type 2)
Legal business name Lakeside Family Care Clinic
Practice address 900 Whitehead Dr., Granbury, TX, 76048
Fax (817) 573-8294
Enumeration date Feb 27, 2008
Last updated in NPPES Feb 27, 2008

Taxonomy & classification

305R00000X Preferred Provider Organization Managed Care Organizations · License J6020 (TX) Primary

Authorized official

Name Judith Moss
Title Doctor

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Lakeside Family Care Clinic?
NPPES lists Judith Moss (Doctor) as the authorized official for this organization.
What is the NPI number for Lakeside Family Care Clinic?
The NPI for Lakeside Family Care Clinic is 1700055423, a Type 2 (organization) record in the CMS NPPES registry.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-02-27.