Eastlake Surgical Associates, Llc

LBN: Eastlake Surgical Associates, Llc
Eastlake Surgical Associates, Llc is an health care organization with primary practice located at 2007 Shasta Ridge Dr , Conroe TX 77304-4697. The organization recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as the primary health care specialty. Eastlake Surgical Associates, Llc can be contacted via phone (936) 444-7071, or through Moreland, Tiffany Brooke via phone (936) 444-7071.

Contact Information

Primary practice address
2007 Shasta Ridge Dr Conroe TX 77304-4697
Phone: (936) 444-7071
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Moreland, Tiffany Brooke LSA
Phone: (936) 444-7071

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X SA00639 Texas

Profile Details

NPI number 1780163378
LBN Legal business name Eastlake Surgical Associates, Llc
DBA Doing business as
Authorized official Moreland, Tiffany Brooke LSA
Entity Organization
Organization subpart 1 No
Enumeration date Aug 14th, 2018
Last updated Mar 30th, 2022 - 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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