Lakeside Medical Clinc

LBN: Jep Cardiology Associates
Lakeside Medical Clinc is an health care organization with primary practice located at 3500 West Davis Street Suite 220, Conroe TX 77304. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Jep Cardiology Associates can be contacted via phone (936) 760-1691, or through Perry, John Edward via phone (936) 760-1691.

Contact Information

Primary practice address
3500 West Davis Street Suite 220 Conroe TX 77304
Phone: (936) 760-1691
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Perry, John Edward Doctor of Medicine (MD)
Phone: (936) 760-1691

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X L 1430 Texas

Profile Details

NPI number 1043317514
LBN Legal business name Jep Cardiology Associates
DBA Doing business as Lakeside Medical Clinc
Authorized official Perry, John Edward Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 19th, 2006
Last updated Aug 22nd, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1043317514 NPPES
Texas Other L 1430 LICENSE NUMBER

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