Organization
LAGDOB MEDICAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIZETTE MORIN (MDMS NPI COMPLIANCE OFFICER)
(210) 598-2801
Entity
Organization
Contact information
Practice address
5600 W LOVERS LN STE 116, 284, DALLAS, TX 75209-4360
(469) 754-0993
Mailing address
5600 W LOVERS LN STE 116, 284, DALLAS, TX 75209-4360
(469) 754-0993
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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