Lakeshore Ent in Granbury - Facial Plastic Surgery
Lakeshore Ent - NPI 1003096991
Lakeshore Ent is a Facial Plastic Surgery in Granbury, Texas. Lakeshore Ent practices all healthcare services and medical treatments related to Facial Plastic Surgery. The NPI Number for Lakeshore Ent is 1003096991. The last update date is 2008-01-07.
Lakeshore Ent's current location address is 1305 Paluxy Rd, Granbury, Texas. You can contact this provider via phone number 8175736673 and fax number 8175739783. The mailing address for Lakeshore Ent is 1305 Paluxy Rd, Granbury, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lakeshore Ent |
|---|---|
| Address | 1305 Paluxy Rd, Granbury, Texas |
| Phone Number | 8175736673 |
| Fax Number | 8175739783 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Krzeminski George Stephen |
| Credentials | D.O., FAOC |
| Telephone Number | 8175736673 |
NPI Number Detail
| NPI Number | 1003096991 |
|---|---|
| Provider Enumeration Date | 2007-11-07 |
| Last Updated Date | 2008-01-07 |
Provider Mailing Address Detail
| Address | 1305 Paluxy Rd |
|---|---|
| City | Granbury |
| State | Texas (TX) |
| Post Code | 760485641 |
| Phone Number | 8175736673 |
| Fax Number | 8175739783 |
Provider's Primary Taxonomy Detail
| Speciality | Facial Plastic Surgery |
|---|---|
| Taxonomy | 207Ys0123X |
| Licence No | K8272 |
|
Definition: An otolaryngologist who specializes in facial plastic surgery. |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lakeshore Ent by the Centers for Medicare & Medicaid Services?
The Lakeshore Ent has been issued the NPI (National Provider Identifier) 1003096991, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Lakeshore Ent's facilities are geographically located?
The facilities of Lakeshore Ent are physically situated at the following location: 1305 Paluxy Rd, Granbury, TX, 760485641.
What is Lakeshore Ent's specialized field of practice, and what is the corresponding taxonomy classification code?
The Lakeshore Ent's area of specialization is Facial Plastic Surgery, and the corresponding taxonomy code that categorizes this field of practice is 207Ys0123X.
On what date was the 1003096991 assigned to Lakeshore Ent?
The Lakeshore Ent was issued its 1003096991 on 2007-11-07, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Lakeshore Ent's information last updated?
The Lakeshore Ent's information was last updated on 2008-01-07.
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