Deer Lake Lodge, Llc

LBN: Deer Lake Lodge, Llc
Deer Lake Lodge, Llc is an health care organization with primary practice located at 10500 Deer Lake Lodge Rd , Montgomery TX 77316-9604. The organization recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as the primary health care specialty. Deer Lake Lodge, Llc can be contacted via phone (281) 414-5111, or through Boulware, Tracy via phone (281) 414-5111.

Contact Information

Primary practice address
10500 Deer Lake Lodge Rd Montgomery TX 77316-9604
Phone: (281) 414-5111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boulware, Tracy
Phone: (281) 414-5111

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1922769231
LBN Legal business name Deer Lake Lodge, Llc
DBA Doing business as
Authorized official Boulware, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Jan 8th, 2022
Last updated Jan 8th, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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