Organization
LAKE JACKSON PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT SCOTT YARISH M.D. (PRESIDENT)
(713) 467-0146
Entity
Organization
Contact information
Practice address
215 OAK DR S, SUITE J, LAKE JACKSON, TX 77566-5629
(979) 480-0105
(979) 480-0106
Mailing address
10565 KATY FWY, SUITE 100, HOUSTON, TX 77024-1007
(713) 467-0146
(713) 467-9413
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
H2191
TX
Other
Enumeration date
10/05/2012
Last updated
10/05/2012
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