Lakeshore Anesthesia Group, Pllc
LBN: Lakeshore Anesthesia Group, Pllc
Lakeshore Anesthesia Group, Pllc is an health care organization with primary practice located at 9440 Poppy Dr , Dallas TX 75218-3652. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as the primary health care specialty.
Lakeshore Anesthesia Group, Pllc can be contacted via phone (214) 324-6100, or through Millson, Richard B. via phone (214) 236-5643.
Contact Information
Primary practice address
9440 Poppy Dr
Dallas TX 75218-3652
Phone: (214) 324-6100
Fax: (214) 324-6141
Website:
Authorized official contact:
Name: Millson, Richard B. Certified Registered Nurse Anesthetist (CRNA)
Phone: (214) 236-5643
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X |
Profile Details
| NPI number | 1689611550 |
|---|---|
| LBN Legal business name | Lakeshore Anesthesia Group, Pllc |
| DBA Doing business as | |
| Authorized official | Millson, Richard B. Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jun 25th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689611550 | NPPES |
| Texas | Other | 00C09V | BCBS |
| Texas | MEDICAID | 185036401 | BCBS |
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