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Organization
LAKE JACKSON PLASTIC SURGERY, PA
Active
Organization
LAKE JACKSON PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SCOTT YARISH M.D. (PRESIDENT)
(713) 467-0146
Entity
Organization
Contact information
Practice address
215 OAK DR S, SUITE J, LAKE JACKSON, TX 77566-5629
(979) 480-0105
(979) 480-0106
Mailing address
10565 KATY FWY, SUITE 100, HOUSTON, TX 77024-1007
(713) 467-0146
(713) 467-9413
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
H2191
TX
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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