Lakeside Spine Center

NPI #1881829026 in Rowlett, Texas

Provider Information

NPI Number
1881829026
Entity Type
Organization
Organization Name
Lakeside Spine Center
Subpart
Yes (part of a larger organization)
Parent Organization
SPECIALTY AMBULATORY CENTER OF TEXAS, PLLC
Primary Specialty
Clinic/Center - Ambulatory Surgical
Enumeration Date
May 18, 2009
Last Updated
May 18, 2009

Practice Location

Address
8301 LAKEVIEW PKWY
Address 2
SUITE 200
State
Texas
ZIP Code
75088-9320
Phone
(972) 276-6300

Authorized Official

Name
DEE DEE ASHMORE
Title
PRACTICE ADMINISTRATOR
Phone
(972) 276-6300

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Ambulatory SurgicalAmbulatory Surgical

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