Provider Demographics
NPI:1417265661
Name:LANSFORD FAMILY MEDICINE, PLLC
Entity Type:Organization
Organization Name:LANSFORD FAMILY MEDICINE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:PAULA
Authorized Official - Middle Name:
Authorized Official - Last Name:LANSFORD-SEABAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:817-645-5904
Mailing Address - Street 1:PO BOX 1703
Mailing Address - Street 2:
Mailing Address - City:CLEBURNE
Mailing Address - State:TX
Mailing Address - Zip Code:76033-1703
Mailing Address - Country:US
Mailing Address - Phone:817-645-5904
Mailing Address - Fax:
Practice Address - Street 1:519 N MAIN ST
Practice Address - Street 2:
Practice Address - City:CLEBURNE
Practice Address - State:TX
Practice Address - Zip Code:76033-3845
Practice Address - Country:US
Practice Address - Phone:817-645-5904
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-22
Last Update Date:2010-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN3813261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care