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Lakeside Surgery, P.a.
Specialist in Rockwall, Texas
NPI 1851489520

Lakeside Surgery, P.a. is a Specialist based in Rockwall, TX. Lakeside Surgery, P.a. practices in Rockwall, TX. The NPI Number for Lakeside Surgery, P.a. is 1851489520 and holds a License No. K6483 (Texas).

The current practice location address for Lakeside Surgery, P.a. is 3142 Horizon Rd, Rockwall, TX and can be reached out via phone at 972-722-3290 and via fax at 469-402-2585.

Location: 3142 Horizon Rd, Rockwall, TX, 75032-5508
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1851489520
Provider Name
Lakeside Surgery, P.a.
Credential
Provider Entity Type
Organization
Address
3142 Horizon Rd, Rockwall, TX, 75032-5508
Phone Number
972-722-3290
Fax Number
469-402-2585
Provider Enumeration Date
10/10/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1326097676 01 TX NPI
1952393415 01 TX NPI
institution
Provider Business Practice Location Address Details
Address
3142 Horizon Rd
City
Rockwall
State
Texas
Zip
75032-7809
Phone Number
972-722-3290
Fax Number
469-402-2585
person
Provider Business Mailing Address Details
Address
3142 Horizon Rd
City
Rockwall
State
Texas
Zip
75032-7809
Phone Number
972-722-3290
Fax Number
469-402-2585
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
K6483 (Texas)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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