| NPI | 1295704187 |
|---|---|
| Doing Business As | LAKEVIEW MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | THOMAS MILLER Administrator 214-663-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX H9496) |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: TX H9496) |
| 207R00000X Internal Medicine (Licence: TX H9496) | |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2008-11-24 |