LAKE JACKSON PLASTIC SURGERY, PA
Ambulatory Health at Oak Dr, Richwood, TX

License number
Texas H2191
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: DR. ROBERT SCOTT YARISH M.D.
Title: PRESIDENT
Phone: (713) 467-0146
Address
Address 2
215 Oak Dr S SUITE J, Richwood, TX 77566
10565 Katy Fwy SUITE 100, Houston, TX 77024
National Provider ID: 1912259698
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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LAKE JACKSON PLASTIC SURGERY, PA

Houston, TX

Registration:
Aug 14, 2012
Addresses:
10314 Ella Lee Ln, Houston, TX 77042 (Mailing)
4200 Montrose Blvd, Houston, TX 77006
State ID:
0801640464
Business type:
Professional Association
Secretary/Treasurers:
Robert S. Yarish (Member),R. Scott Yarish (Director, President),Darleen St Jean (Assistant Secretary),...
Agent:
Darleen St. Jean,10314 Ella Lee Ln, Houston, TX 77042 (Physical)
TIN:
32048750361

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