Lakeside Surgery PA

NPI #1831468800 in Rockwall, Texas

Provider Information

NPI Number: 1831468800
Entity Type: Organization
Organization Name: Lakeside Surgery PA
Primary Specialty: Surgery
Enumeration Date: Dec 21, 2011
Last Updated: Jun 20, 2018

Practice Location

Address: 4450 TUBBS RD
City: Rockwall
State: Texas
ZIP Code: 75032-6308
Phone: (972) 772-3290

Authorized Official

Name: TERRI R PHILLIP
Title: PRACTICE MANAGER
Phone: (972) 722-3290

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery	208600000X	Primary

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