Organization
LAKESIDE MED PLLC
Active
Organization
LAKESIDE MED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OM NEELEY (SOLE MEMBER)
(210) 338-6328
Entity
Organization
Contact information
Practice address
3619 PAESANOS PKWY STE 300, SAN ANTONIO, TX 78231-1263
(210) 338-6328
Mailing address
1141 NORTH LOOP 1604 EAST #105-PMB616, SAN ANTONIO, TX 78232-3624
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
—
—
208M00000X
Hospitalist Physician
—
—
246ZC0007X
Surgical Assistant
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/30/2025
Last updated
06/25/2026
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