Organization
LAKESIDE GASTROENTEROLOGY AND LIVER SPECIALISTS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON A TAJONG M.D (OWNER)
(410) 530-5310
Entity
Organization
Contact information
Practice address
690 S LOOP 336 W STE 215, CONROE, TX 77304-3322
(936) 828-3962
Mailing address
86 LENOX HILL DR, SPRING, TX 77382-2527
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
06/04/2010
Last updated
10/29/2020
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