| Lakeside Gastroenterology And Liver Specialists, Pllc | |
|
690 S Loop 336 W Ste 215 Conroe TX 77304-3322 | |
| (936) 828-3962 | |
| Not Available |
| Full Name | Lakeside Gastroenterology And Liver Specialists, Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 690 S Loop 336 W Ste 215, Conroe, Texas |
| Authorized Official Name and Position | Nelson A Tajong (OWNER) |
| Authorized Official Contact | 4105305310 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Gastroenterology And Liver Specialists, Pllc 86 Lenox Hill Dr Spring TX 77382-2527 Ph: () - | Lakeside Gastroenterology And Liver Specialists, Pllc 690 S Loop 336 W Ste 215 Conroe TX 77304-3322 Ph: (936) 828-3962 |
| NPI Number | 1033439781 |
|---|---|
| Provider Enumeration Date | 06/04/2010 |
| Last Update Date | 10/29/2020 |
| Medicare PECOS PAC ID | 6507981651 |
|---|---|
| Medicare Enrollment ID | O20100914000402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033439781 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
| Provider Name | Michael Warren Robles |
|---|---|
| Provider Type | Practitioner - Pathology |
| Provider Identifiers | NPI Number: 1427034495 PECOS PAC ID: 7618947334 Enrollment ID: I20040729001021 |
| Provider Name | Nelson Atembe Tajong |
|---|---|
| Provider Type | Practitioner - Gastroenterology |
| Provider Identifiers | NPI Number: 1760436182 PECOS PAC ID: 3173571890 Enrollment ID: I20060726000328 |
Devotion Palliative Care Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 610 N Loop 336 E, 2nd Floor, Conroe, TX 77301 Phone: 281-742-1142 Fax: 346-998-1442 | |
1488 Family Medicine Group, Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2400 Fm 1488, Suite 400, Conroe, TX 77384 Phone: 936-270-8008 Fax: 936-270-8009 | |
Hcc Of Conroe Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2006 S Loop 336 W Ste 500, Conroe, TX 77304 Phone: 936-647-3500 | |
Columbus Urgent Care Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 804 W Dallas St, Conroe, TX 77301 Phone: 936-494-0865 Fax: 936-494-0057 | |
Eulitt Investments Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3401 W Davis St Ste A2, Conroe, TX 77304 Phone: 936-494-1222 | |
Greater Houston Family Medicine Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Medical Center Blvd Ste 104, Conroe, TX 77304 Phone: 936-756-2888 |