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Contact Information

LAKESHORE SURGICAL LLC
1207 N HOUSTON AVE
HUMBLE, TX77338-2591
 Phone: 832-916-2422
 Fax: 832-916-2522
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for LAKESHORE SURGICAL LLC

NPI # 1801329321
LBN Legal business name LAKESHORE SURGICAL LLC
Authorized official ANGELA LEWIS-TRAYLOR - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2017
Last updated 03/16/2022 - About 4 years ago
Identifiers
TX Medicaid 370843001
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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