Lakeside Physicians Management LLC

NPI #1043402308 in Whitney, Texas

Provider Information

NPI Number
1043402308
Entity Type
Organization
Organization Name
Lakeside Physicians Management LLC
Primary Specialty
Family Medicine
Enumeration Date
Aug 10, 2007
Last Updated
Sep 30, 2010

Practice Location

Address
1512 NORTH BRAZOS
State
Texas
ZIP Code
76692
Phone
(254) 694-6871

Authorized Official

Name
MRS. DIANNA L ANDERSON
Title
ADMINISTRATIVE ASSISTANT
Phone
(254) 694-6871

Specialties & Taxonomy Codes

Specialty
Family Medicine

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