Organization
THREE LAKES SURGICARE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CRAIG H THOMAJAN D.P.M. (DOCTOR OF PODIATRIC MEDICINE)
(512) 328-8900
Entity
Organization
Contact information
Practice address
5000 BEE CAVE RD STE 202, WEST LAKE HILLS, TX 78746-5254
(512) 328-8900
Mailing address
5000 BEE CAVE RD STE 202, WEST LAKE HILLS, TX 78746-5254
(512) 328-8900
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
P1720
TX
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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