| Lakeside Family Practice Pa | |
|
4632 Nasa Pkwy Seabrook TX 77586-5414 | |
| (281) 326-5525 | |
| (281) 326-2590 |
| Full Name | Lakeside Family Practice Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4632 Nasa Pkwy, Seabrook, Texas |
| Authorized Official Name and Position | John D Handley (OWNER) |
| Authorized Official Contact | 2813265525 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Practice Pa 4632 Nasa Pkwy Seabrook TX 77586-5414 Ph: (281) 326-5525 | Lakeside Family Practice Pa 4632 Nasa Pkwy Seabrook TX 77586-5414 Ph: (281) 326-5525 |
| NPI Number | 1568773844 |
|---|---|
| Provider Enumeration Date | 07/01/2010 |
| Last Update Date | 07/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568773844 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | G9748 (Texas) | Primary |
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