Organization · Type 2 NPI

Lakeside Surgery, P.a.

Specialist · Rockwall, TX

NPI number 1851489520 Active

Practice location

3142 Horizon Rd, Suite 206
Rockwall, TX 75032-7809

Call (972) 722-3290 Map

Fax (469) 402-2585

Mailing address

2850 Shoreline Trl, Pmb 154
Rockwall, TX 75032-5508

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XK6483 (TX)
Specialist 174400000XJ2983 (TX)
Specialist 174400000XP6593 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

11 other providers at this address

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About NPI 1851489520

Lakeside Surgery, P.a.'s National Provider Identifier is 1851489520, issued on Oct 10, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Rockwall, TX. The record was last updated on Jun 7, 2013.