Lakeside Family Care Clinic
NPI 1700055423 · Preferred Provider Organization · Granbury, TX
Lakeside Family Care Clinic is a Preferred Provider Organization organization in Granbury, TX (NPI 1700055423).
Provider details
- NPI number
- 1700055423
- Entity type
- Organization
- Primary specialty
- Preferred Provider OrganizationManaged Care Organizations
- Organization subpart
- No
- Authorized official
- Judith Moss, Doctor(817) 573-8320
- License
- J6020 (TX)
Specialties & taxonomies
Managed Care Organizations
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-02-27
- Last updated
- 2008-02-27
Frequently asked questions
- What is Lakeside Family Care Clinic's NPI number?
- Lakeside Family Care Clinic's National Provider Identifier (NPI) is 1700055423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lakeside Family Care Clinic?
- Lakeside Family Care Clinic is classified in the NPPES registry as Preferred Provider Organization (Managed Care Organizations).
- Where is Lakeside Family Care Clinic located?
- Lakeside Family Care Clinic's practice location on file with NPPES is 900 Whitehead Dr., Granbury, TX 76048.
- What is Lakeside Family Care Clinic's phone number?
- The practice phone number listed in the NPPES registry for Lakeside Family Care Clinic is (817) 573-8320.
- Who is the authorized official for Lakeside Family Care Clinic?
- The authorized official listed on Lakeside Family Care Clinic's NPPES record is Judith Moss, Doctor. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lakeside Family Care Clinic's NPI active?
- Yes — Lakeside Family Care Clinic's NPI (1700055423) is active in the NPPES registry as of the last update on 2008-02-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.