OrganizationActive
Lytle Family Practice PA
NPI 1790870327 · Family Medicine Physician · Lytle, TX
Provider details
- NPI number
- 1790870327
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Glendon Hack, President(830) 709-9960
- License
- K7753 (TX)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
19432 Davis St
Lytle, TX 78052-1601
Phone: (830) 709-9960
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 324
Von Ormy, TX 78073-0324
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.