Lakeside Medical Associates, P. A.
NPI #1184846776 in The Colony, Texas
Provider Information
- NPI Number
- 1184846776
- Entity Type
- Organization
- Organization Name
- Lakeside Medical Associates, P. A.
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 3, 2007
- Last Updated
- Jan 20, 2017
Practice Location
- Address
- 6053 MAIN ST
- Address 2
- SUITE 130
- City
- The Colony
- State
- Texas
- ZIP Code
- 75056-4706
- Phone
- (972) 625-7000
Authorized Official
- Name
- GARY VOLLENWEIDER
- Title
- PRESIDENT
- Phone
- (972) 625-7000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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