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LAKE JACKSON PLASTIC SURGERY PA NPI 1912259698


NPI Information

NPI: 1912259698
Provider Name: LAKE JACKSON PLASTIC SURGERY, PA
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
215 OAK DR S
SUITE J
LAKE JACKSON, TX
ZIP 77566
Phone: (979) 480-0105
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LAKE JACKSON PLASTIC SURGERY, PA is a medical specialty clinic center in Lake Jackson, TX. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LAKE JACKSON PLASTIC SURGERY, PA NPI is 1912259698. The provider is registered as an organization entity type.

The provider's business location address is:

215 OAK DR S
SUITE J
LAKE JACKSON, TX
ZIP 77566-629
Phone: (979) 480-0105
Fax: (979) 480-0106

The provider's authorized official is Robert Scott Yarish .
The authorized official title is President and has the following contact phone number (713) 467-0146.

The enumeration date for this NPI number is 10/5/2012 and was last updated on 10/5/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QM2500XClinic/CenterMedical SpecialtyH2191TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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