Organization
LAKESHORE SURGICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIM X HEAD (CEO)
(281) 825-4607
Entity
Organization
Contact information
Practice address
6701 LAKE WOODLANDS DR STE 175, SPRING, TX 77382-2565
(281) 825-4607
Mailing address
6701 LAKE WOODLANDS DR STE 175, SPRING, TX 77382-2565
(281) 825-4607
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
03/19/2020
Last updated
08/17/2020
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