Organization · Type 2 NPI

Lake Jackson Plastic Surgery, PA

Medical Specialty Clinic/Center · Lake Jackson, TX

NPI number 1912259698 Active

Practice location

215 Oak Dr S, Suite J
Lake Jackson, TX 77566-5629

Fax (979) 480-0106

Mailing address

10565 Katy Fwy, Suite 100
Houston, TX 77024-1007

Specialties and licenses

TaxonomyCodeLicense
Medical Specialty Clinic/Center Primary 261QM2500XH2191 (TX)

Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).

10 other providers at this address

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About NPI 1912259698

Lake Jackson Plastic Surgery, PA's National Provider Identifier is 1912259698, issued on Oct 5, 2012. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Lake Jackson, TX. The record was last updated on Oct 5, 2012.