Organization
JEP CARDIOLOGY ASSOCIATES
Active
Other names
Lakeside Medical Clinc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWARD PERRY III M.D. (PRESIDENT)
(936) 760-1691
Entity
Organization
Contact information
Practice address
3500 WEST DAVIS STREET, SUITE 220, CONROE, TX 77304
(936) 760-1691
Mailing address
119 NORTH SUMMER CLOUD DRIVE, THE WOODLANDS, TX 77381-6225
(281) 989-9910
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
L 1430
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L 1430
LICENSE NUMBER
TX
Enumeration date
09/19/2006
Last updated
08/22/2020
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up