LAKESIDE SURGERY, P.A.
Medical Practice at Horizon Rd, Rockwall, TX

License number
Texas K6483
Category
Medical Practice
Type
Specialist
License number
Texas P6593
Category
Medical Practice
Type
Specialist
License number
Texas J2983
Category
Medical Practice
Type
Specialist
Owner
Name: KATHERINE R MAKOHON MD
Title: SURGEON/OWNER
Phone: (972) 722-3290
Address
Address
3142 Horizon Rd SUITE 206, Rockwall, TX 75032
National Provider ID: 1851489520
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about LAKESIDE SURGERY, P.A. at bizstanding.com

LAKESIDE SURGERY, PA

Rockwall, TX

Industry:
Medical Doctor's Office
Registration:
Oct 27, 2011
Addresses:
4450 Tubbs Rd, Rockwall, TX 75032 (Mailing)
2003 Sleepy Holw Ln, Rockwall, TX 75032
3142 Horizon Rd, Rockwall, TX 75032
State ID:
0801499892
Business type:
Professional Association
Surgeons:
Jeffery S. Stephens (Member),Katherine Rose Makohon (Director, Member, President),Terri Phillips (Office Manager, Practice Manager),...
Agent:
Katherine R Makohon,2003 Sleepy Holw Ln, Rockwall, TX 75032 (Physical)
TIN:
32045434506

Lakeside Surgery Pa - Kate R Makohon MD

4450 Tubbs Rd, Rockwall, TX 75032

Categories:
General Surgeons
Phone:
(972) 722-3290 (Phone)

Medical Practice licenses in Texas










Other Doctors licenses in Texas