Organization
LAKESIDE SPINE CENTER
Active
Parent organization
SPECIALTY AMBULATORY CENTER OF TEXAS, PLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SPECIALTY AMBULATORY CENTER OF TEXAS, PLLC
Authorized official
DEE DEE ASHMORE (PRACTICE ADMINISTRATOR)
(972) 276-6300
Entity
Organization
Contact information
Practice address
8301 LAKEVIEW PKWY, SUITE 200, ROWLETT, TX 75088-9320
(972) 276-6300
(972) 862-1085
Mailing address
8301 LAKEVIEW PKWY, SUITE 200, ROWLETT, TX 75088-9320
(972) 276-6300
(972) 862-1085
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
05/18/2009
Last updated
05/18/2009
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