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Organization
LAKE AREA MANAGEMENT GROUP
Active
Organization
LAKE AREA MANAGEMENT GROUP
Active
Other names
Lake Area Therapy & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE DELOACH (DIRECTOR)
(936) 327-8825
Entity
Organization
Contact information
Practice address
400 BYPASS LN STE 100, LIVINGSTON, TX 77351-7380
(936) 327-8825
(936) 328-8724
Mailing address
1442 KINGWOOD DR PMB 73, KINGWOOD, TX 77339-3040
(281) 354-1234
(281) 354-2514
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0038JC
BC/BS OF TEXAS
TX
01
—
P00190698
RAILROAD MEDICARE
TX
Enumeration date
08/20/2006
Last updated
08/22/2020
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